Guy T. Vise Jr., M.d.

NPI 1043433303 - Specialist - 174400000X

NPI Details
NPI 1043433303
Enumeration Date 04/11/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GUY T GUY
Position OWNER
Phone (601) 366-5998
Fax (601) 366-4225
Practice Location
890 LAKELAND DR
JACKSON MS, 39216-4644, US
Phone (601) 366-5998
Fax (601) 366-4225
Business Location
890 LAKELAND DR
JACKSON MS, 39216-4644, US
Phone (601) 366-5998
Fax (601) 366-4225
Toxanomy
Taxonomy Code 174400000X
License State Mississippi
License Number 06369
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According to our database, Guy T. Vise Jr., M.d. NPI is 1043433303, taxonomy code is 174400000X and license number is 06369, license state is located at Mississippi. Guy T. Vise Jr., M.d. physically located at 890 Lakeland Dr, Jackson MS, 39216-4644. NPI Number 1033115704 has the healthcare provider type.

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1043433303 NPI number is provided on an as is basis without warranty of any kind. 1043433303 is maintained by the National Plan & Provider Enumeration System. The contents of Guy T. Vise Jr., M.d. are for informational purposes only.