Vicksburg Clinic LLC
Vicksburg Clinic LLC is a Family Medicine Physician in Vidalia, Louisiana. Registered with an NPI since 2007.
- In the registry since
- 2007
- Specialties on file
- 6
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
107 Frnt ST Ste 1200Vidalia, LA 71373-2834
Phone: (318) 336-2220
Fax: (318) 336-6060
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X |
| Internal Medicine Physician | Taxonomy 207R00000X |
| Obstetrics & Gynecology Physician | Taxonomy 207V00000X |
| Urology Physician | Taxonomy 208800000X |
| General Practice Physician | Taxonomy 208D00000X |
Record details
| NPI number | 1629279054 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kristy Music — Director Provider Enrollment · (615) 465-7377 |
| NPI enumerated | May 31, 2007 |
| Last updated in NPPES | February 14, 2025 |
| Certification date | February 14, 2025 |
| Mailing address | 508 Broadway, Delhi, LA 71232-3002 |
Other providers in Vidalia
-
J Kevin Ingram Medical, Inc
1806 Carter St, Vidalia, LA 71373-3115 · (318) 757-6526
-
Dr. Dennis A Laravia, MD
900 Carter St, Vidalia, LA 71373 · (318) 336-4780
-
Natchez Hma Physician Management, LLC
900 Carter St Ste A, Vidalia, LA 71373-3208 · (318) 336-4780
-
Natchez Regional Clinic
1806 Carter St, Vidalia, LA 71373-3115 · (318) 336-8166