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

Vicksburg Clinic LLC

Organization Family Medicine Physician · NPI 1831308816

Vicksburg Clinic LLC is a Family Medicine Physician in Tallulah, Louisiana. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

10 Crothers Dr Ste 4
Tallulah, LA 71282-5510
Phone: (318) 574-0056
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Surgery Physician Taxonomy 208600000X
Urology Physician Taxonomy 208800000X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1831308816
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Debbie Brewer — Director Of Provider Enrollment · (877) 892-9813
NPI enumeratedMay 22, 2007
Last updated in NPPESOctober 1, 2008
Mailing address10 Crothers Dr, Ste. 4, Tallulah, LA 71282-5510

Other providers in Tallulah