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NPI Verification

National Provider Identifier: 1407020407

Vicksburg Hma Physician Management LLC

Organization

Primary Specialty

Internal Medicine

Code: 207R00000X

All Specialties (4)

Nurse Practitioner

Code: 363L00000X

Urology

Code: 208800000X

Orthopaedic Surgery

Code: 207X00000X

Internal Medicine

Code: 207R00000X

Primary

Practice Address

2080 S FRONTAGE RD

SUITE 100

VICKSBURG, MS 391805328

Phone: 601-262-1000

NPI Enumeration Date

April 22, 2008

NPI Number

1407020407

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
Vicksburg Hma Physician Management LLC - NPI 1407020407 | Provider Verification | HormoneMap