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Physicians Surgery

Provider NPI: 1659307791

Organization Information:
Organization Name:  VICKSBURG CLINIC LLC
Organization is not Subpart

Practice Location:
Tel: 601-634-8790  Fax: --

Business Mailing Address:
Tel: 601-634-8790  Fax: --

NPI Information:
NPI: 1659307791
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
Internal Medicine
Obstetrics & Gynecology
Family Medicine
Internal Medicine
Allergy & Immunology
Internal Medicine
Orthopaedic Surgery
Psychiatry & Neurology
N363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Internal Medicine

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 207RI0200X





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