Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vicksburg Clinic LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1154532257

Vicksburg Clinic LLC is a Durable Medical Equipment & Medical Supplies in Vicksburg, Mississippi. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1115 N Frontage Rd
Vicksburg, MS 39180-5102
Phone: (601) 634-8790
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X

Record details

NPI number1154532257
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Debbie Brewer — Vp · (877) 892-9813
NPI enumeratedMay 24, 2007
Last updated in NPPESApril 12, 2022
Certification dateApril 12, 2022
Mailing address1115 N Frontage Rd, Vicksburg, MS 39180-5102

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