Vicksburg Clinic LLC
NPI #1790915395 in Vicksburg, Mississippi
Provider Information
- NPI Number
- 1790915395
- 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
- Jul 17, 2009
- Last Updated
- Nov 5, 2024
Practice Location
- Address
- 2100 HIGHWAY 61 N
- City
- Vicksburg
- State
- Mississippi
- ZIP Code
- 39183-8211
- Phone
- (601) 883-5000
Authorized Official
- Name
- KRISTINA MUSIC
- Title
- DIRECTOR PROVIDER ENROLLMENT
- Phone
- (877) 892-9815
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
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