NPI 1154532257
Vicksburg Clinic LLC
Practice location
- Address
- 1115 N Frontage Rd, Vicksburg, MS 39180-5102
- Phone
- (601) 634-8790
Authorised official
- Name
- Debbie T Brewer
- Title
- Vp
- Phone
- (877) 892-9813
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1154532257
- Entity type
- Organization
- NPI issued
- 24 May 2007
- Record last updated
- 12 Apr 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.