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Vicksburg Special Care Clinic Llc
Family Medicine Physician in Vicksburg, Mississippi
NPI 1487988002

Vicksburg Special Care Clinic Llc is a Family Medicine Physician based in Vicksburg, MS. Vicksburg Special Care Clinic Llc practices in Vicksburg, MS. The NPI Number for Vicksburg Special Care Clinic Llc is 1487988002 and holds a License No. (Mississippi).

The current practice location address for Vicksburg Special Care Clinic Llc is 4077 Pemberton Square Blvd, Vicksburg, MS and can be reached out via phone at 601-638-8600 and via fax at 601-638-8661.

Location: 4077 Pemberton Square Blvd, Vicksburg, MS, 39180-5580
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1487988002
Provider Name
Vicksburg Special Care Clinic Llc
Credential
Provider Entity Type
Organization
Address
4077 Pemberton Square Blvd, Vicksburg, MS, 39180-5580
Phone Number
601-638-8600
Fax Number
601-638-8661
Provider Enumeration Date
09/29/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01483541 05 MS
01123325 05 MS
institution
Provider Business Practice Location Address Details
Address
4077 Pemberton Square Blvd
City
Vicksburg
State
Mississippi
Zip
39180-5580
Phone Number
601-638-8600
Fax Number
601-638-8661
person
Provider Business Mailing Address Details
Address
4077 Pemberton Square Blvd
City
Vicksburg
State
Mississippi
Zip
39180-5580
Phone Number
601-638-8600
Fax Number
601-638-8661
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
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Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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