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Vicksburg Clinic Llc
Rural Health Clinic/Center in Vicksburg, Mississippi
NPI 1790915395

Vicksburg Clinic Llc is a Rural Health Clinic/Center based in Brentwood, MS and is specialized in Rural Health. Vicksburg Clinic Llc practices in Vicksburg, MS. The NPI Number for Vicksburg Clinic Llc is 1790915395 and holds a License No. (Mississippi).

The current practice location address for Vicksburg Clinic Llc is 2100 Highway 61 N, Vicksburg, MS and can be reached out via phone at 601-883-5000.

Location: 2100 Highway 61 N, Vicksburg, MS, 37027-2829
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790915395
Provider Name
Vicksburg Clinic Llc
Credential
Provider Entity Type
Organization
Address
2100 Highway 61 N, Vicksburg, MS, 37027-2829
Phone Number
601-883-5000
Fax Number
Provider Enumeration Date
07/17/2009
Last Update Date
11/16/2024
institution
Provider Business Practice Location Address Details
Address
2100 Highway 61 N
City
Vicksburg
State
Mississippi
Zip
39183-8211
Phone Number
601-883-5000
Fax Number
person
Provider Business Mailing Address Details
Address
2100 Highway 61 N
City
Vicksburg
State
Mississippi
Zip
39183-8211
Phone Number
601-883-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
(Mississippi)
Definition
Definition to come...
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