Natchez Thoracic,vascular and Surgery Clinic

NPI #1821204108 in Natchez, Mississippi

Provider Information

NPI Number: 1821204108
Entity Type: Organization
Organization Name: Natchez Thoracic,vascular and Surgery Clinic
Primary Specialty: Specialist
Enumeration Date: May 15, 2007
Last Updated: Apr 20, 2008

Practice Location

Address: 46 SERGEANT PRENTISS DR
Address 2: SUITE 203
City: Natchez
State: Mississippi
ZIP Code: 39120-4792
Phone: (601) 446-6068

Authorized Official

Name: FORREST SCOT RUBENSTEIN, M.D.,F.A.C.S
Title: SURGEON
Phone: (601) 446-6068

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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