Organization · Type 2 NPI

Vicksburg Clinic LLC

Rural Health Clinic/Center · Vicksburg, MS

NPI number 1619355203 Active

Practice location

1 Medical Plaza Dr
Vicksburg, MS 39180-5187

Call (601) 883-3360 Map

Fax (601) 883-3364

Mailing address

4000 Meridian Blvd
Franklin, TN 37067-6325

Specialties and licenses

TaxonomyCodeLicense
Rural Health Clinic/Center Primary 261QR1300XNone listed

Rural Health Clinic/Center: Definition to come...

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About NPI 1619355203

Vicksburg Clinic LLC's National Provider Identifier is 1619355203, issued on May 14, 2015. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Vicksburg, MS. The record was last updated on May 18, 2015.