Physician Management Services of Mississippi, LLC
NPI #1922633916 in Vicksburg, Mississippi
Provider Information
- NPI Number
- 1922633916
- Entity Type
- Organization
- Organization Name
- Physician Management Services of Mississippi, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- VAXCARE CORPORATION
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 10, 2020
- Last Updated
- Mar 10, 2020
Practice Location
- Address
- 1901 MISSION 66
- City
- Vicksburg
- State
- Mississippi
- ZIP Code
- 39180-3711
- Phone
- (888) 829-8550
Authorized Official
- Name
- BRETT KENEFICK
- Title
- PRESIDENT
- Phone
- (888) 829-8550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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