HomeNPI Verification

NPI Verification

National Provider Identifier: 1659307791

Vicksburg Clinic LLC

Organization

Primary Specialty

Internal Medicine, Infectious Disease

Code: 207RI0200X

All Specialties (13)

Family Medicine

Code: 207Q00000X

Internal Medicine

Code: 207R00000X

Allergy & Immunology, Allergy

Code: 207KA0200X

Internal Medicine, Cardiovascular Disease

Code: 207RC0000X

Pediatrics

Code: 208000000X

Orthopaedic Surgery

Code: 207X00000X

Psychiatry & Neurology, Neurology

Code: 2084N0400X

Nurse Practitioner

Code: 363L00000X

Urology

Code: 208800000X

Surgery

Code: 208600000X

Internal Medicine, Pulmonary Disease

Code: 207RP1001X

Obstetrics & Gynecology, Obstetrics

Code: 207VX0000X

Internal Medicine, Infectious Disease

Code: 207RI0200X

Primary

Practice Address

1115 N FRONTAGE RD

VICKSBURG, MS 391805102

Phone: 601-634-8790

NPI Enumeration Date

June 23, 2006

NPI Number

1659307791

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