Vicksburg Clinic LLC
NPI #1174494975 in Vicksburg, Mississippi
Provider Information
- NPI Number
- 1174494975
- Entity Type
- Organization
- Organization Name
- Vicksburg Clinic LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- VICKSBURG CLINIC LLC
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Sep 15, 2025
- Last Updated
- Sep 15, 2025
Practice Location
- Address
- 3317 PEMBERTON SQUARE BLVD
- City
- Vicksburg
- State
- Mississippi
- ZIP Code
- 39180-5578
- Phone
- (601) 636-1173
Authorized Official
- Name
- KRISTY MUSIC
- Title
- DIRECTOR PROVIDER ENROLLMENT / AO
- Phone
- (615) 465-7377
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
Similar Providers
| Provider Name | |
|---|---|
| Vicksburg Clinic LLC |  AI Deep Dive |
| Vicksburg Clinic LLC | AI Deep Dive |
| Mdb Behavioral Health Services LLC | AI Deep Dive |
| Fast Pace Mississippi, Pllc | AI Deep Dive |
| Vicksburg Clinic LLC Part of Vicksburg Clinic LLC | AI Deep Dive |
Want to research this healthcare provider further?