Organization · Type 2 NPI

Vicksburg Clinic LLC

Family Medicine Physician · Vicksburg, MS

NPI number 1790711158 Active

Practice location

2100 Highway 61 N
Vicksburg, MS 39183-8211

Mailing address

PO Box 689022
Franklin, TN 37068-9022

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed
Radiation Oncology Physician 2085R0001XNone listed
General Practice Physician 208D00000XNone listed
Family Nurse Practitioner 363LF0000XNone listed

Family Medicine Physician: 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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About NPI 1790711158

Vicksburg Clinic LLC's National Provider Identifier is 1790711158, issued on Jun 25, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Vicksburg, MS. The record was last updated on Nov 20, 2024.