Vicksburg Clinic Llc

NPI 1154532257 - Durable Medical Equipment & Medical Supplies - 332B00000X

NPI Details
NPI 1154532257
Enumeration Date 05/24/2007
Last Updated 05/07/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DEBBIE T DEBBIE
Position VP
Phone (601) 634-8790
Fax
Practice Location
1115 N FRONTAGE RD
VICKSBURG MS, 39180-5102, US
Phone (601) 634-8790
Fax
Business Location
1115 N FRONTAGE RD
VICKSBURG MS, 39180-5102, US
Phone (601) 634-8790
Fax
Toxanomy
Taxonomy Code 332B00000X
License State
License Number
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According to our database, Vicksburg Clinic Llc NPI is 1154532257, taxonomy code is 332B00000X Vicksburg Clinic Llc physically located at 1115 N Frontage Rd, Vicksburg MS, 39180-5102. NPI Number 1033115704 has the healthcare provider type.

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1154532257 NPI number is provided on an as is basis without warranty of any kind. 1154532257 is maintained by the National Plan & Provider Enumeration System. The contents of Vicksburg Clinic Llc are for informational purposes only.