Vicksburg Clinic LLC
NPI #1619355203 in Vicksburg, Mississippi
Provider Information
- NPI Number
- 1619355203
- Entity Type
- Organization
- Organization Name
- Vicksburg Clinic LLC
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- May 14, 2015
- Last Updated
- May 18, 2015
Practice Location
- Address
- 1 MEDICAL PLAZA DR
- City
- Vicksburg
- State
- Mississippi
- ZIP Code
- 39180-5187
- Phone
- (601) 883-3360
Authorized Official
- Name
- JAMES P WRIGHT
- Title
- SENIOR DIRECTOR PHYSICAN BUSINESS
- Phone
- (615) 465-7587
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
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