Individual provider · Type 1 NPI
John David Fagan, MD
Urology Physician · Vicksburg, MS
Practice location
2200 Highway 61 N
Vicksburg, MS 39183-8246
Mailing address
2080 South Frontage Rd, Suite 100
Vicksburg, MS 39180
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Urology Physician Primary | 208800000X | 12624 (MS) |
Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
8 other providers at this address
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- Vicksburg Clinic LLCRural Health Clinic/Center Vicksburg, MS NPI 1861622268
- Alfred G. Windham, MDOtolaryngology Physician Vicksburg, MS NPI 1326079518
- Carrie Eure, PA-CPhysician Assistant Vicksburg, MS NPI 1154789717
- Gloria J. Butler, MDFamily Medicine Physician Vicksburg, MS NPI 1750312963
- Kenyatta Nicole Wilson, NP-CFamily Nurse Practitioner Vicksburg, MS NPI 1457633034
- Thomas K. Sligh, MDInternal Medicine Physician Vicksburg, MS NPI 1811928005
- Timothy P. Kerut, MDAllergy & Immunology Physician Vicksburg, MS NPI 1932130127
About NPI 1801827019
John David Fagan, MD's National Provider Identifier is 1801827019, issued on Jul 5, 2006. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Vicksburg, MS. The record was last updated on Sep 29, 2026.