Vicksburg Spine Center, LLC
NPI #1134896038 in Vicksburg, Mississippi
Provider Information
- NPI Number
- 1134896038
- Entity Type
- Organization
- Organization Name
- Vicksburg Spine Center, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Aug 27, 2021
- Last Updated
- Aug 22, 2024
Practice Location
- Address
- 1903C MISSION 66
- City
- Vicksburg
- State
- Mississippi
- ZIP Code
- 39180-3711
- Phone
- (601) 883-6304
Authorized Official
- Name
- MRS. SHANNON HYLTON, RN
- Title
- MANAGER
- Phone
- (816) 547-5498
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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