Vicksburg Clinic LLC
Vicksburg Clinic LLC is an Allergy Physician in Vicksburg, Mississippi. Registered with an NPI since 2006.
- In the registry since
- 2006
- Specialties on file
- 13
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1115 N Frontage RdVicksburg, MS 39180-5102
Phone: (601) 634-8790
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
| Infectious Disease Physician (primary) | Taxonomy 207RI0200X |
|---|---|
| Allergy Physician | Taxonomy 207KA0200X |
| Family Medicine Physician | Taxonomy 207Q00000X |
| Internal Medicine Physician | Taxonomy 207R00000X |
| Cardiovascular Disease Physician | Taxonomy 207RC0000X |
| Pulmonary Disease Physician | Taxonomy 207RP1001X |
| Obstetrics Physician | Taxonomy 207VX0000X |
| Orthopaedic Surgery Physician | Taxonomy 207X00000X |
| Pediatrics Physician | Taxonomy 208000000X |
| Neurology Physician | Taxonomy 2084N0400X |
| Surgery Physician | Taxonomy 208600000X |
| Urology Physician | Taxonomy 208800000X |
| Nurse Practitioner | Taxonomy 363L00000X |
Record details
| NPI number | 1659307791 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Debbie Brewer — Director Of Provider Enrollment · (877) 892-9813 |
| NPI enumerated | June 23, 2006 |
| Last updated in NPPES | November 25, 2008 |
| Mailing address | 1115 N Frontage Rd, Vicksburg, MS 39180-5102 |