Vicksburg Allergy and Asthma
Vicksburg Allergy and Asthma is an Allergy & Immunology Physician in Vicksburg, Mississippi. Licensed in Mississippi. Registered with an NPI since 2008.
- Licensed in
- MS
- In the registry since
- 2008
Practice location Address checks out
104 McAuley DrVicksburg, MS 39183-2825
Phone: (601) 636-0097
Fax: (601) 629-9969
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Allergy & Immunology Physician (primary) | Taxonomy 207K00000X · Licence 11047 (MS) |
|---|
Record details
| NPI number | 1619140399 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Timothy Kerut — President · (601) 636-0097 |
| NPI enumerated | April 2, 2008 |
| Last updated in NPPES | April 2, 2008 |
| Mailing address | 107 Carlton Place Dr, Vicksburg, MS 39180-1822 |
Other providers in Vicksburg
-
Timothy P Kerut, MD
2200 Highway 61 N, Vicksburg, MS 39183-8246 · (601) 883-3320
-
River Region Health System
2100 Highway 61 N, Vicksburg, MS 39183-8211 · (601) 883-5000