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Robert C. Clingan, Md, Dermatology
Medical Specialty Clinic/Center in Vicksburg, Mississippi
NPI 1134593361

Robert C. Clingan, Md, Dermatology is a Medical Specialty Clinic/Center based in Vicksburg, MS and is specialized in Medical Specialty. Robert C. Clingan, Md, Dermatology practices in Vicksburg, MS. The NPI Number for Robert C. Clingan, Md, Dermatology is 1134593361 and holds a License No. 13005 (Mississippi).

The current practice location address for Robert C. Clingan, Md, Dermatology is 2080 S Frontage Rd, Vicksburg, MS and can be reached out via phone at 601-636-1658 and via fax at 601-636-1076.

Location: 2080 S Frontage Rd, Vicksburg, MS, 39180-5328
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134593361
Provider Name
Robert C. Clingan, Md, Dermatology
Credential
Provider Entity Type
Organization
Address
2080 S Frontage Rd, Vicksburg, MS, 39180-5328
Phone Number
601-636-1658
Fax Number
601-636-1076
Provider Enumeration Date
11/27/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02258379 05 MS
institution
Provider Business Practice Location Address Details
Address
2080 S Frontage Rd
City
Vicksburg
State
Mississippi
Zip
39180-5328
Phone Number
601-636-1658
Fax Number
601-636-1076
person
Provider Business Mailing Address Details
Address
2080 S Frontage Rd
City
Vicksburg
State
Mississippi
Zip
39180-5328
Phone Number
601-636-1658
Fax Number
601-636-1076
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
13005 (Mississippi)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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