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

Vicksburg Surgical Associates, PA

Organization Surgery Physician · NPI 1306084637

Vicksburg Surgical Associates, PA is a Surgery Physician in Vicksburg, Mississippi. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

188 YMCA Pl
Vicksburg, MS 39183-3052
Phone: (601) 831-2799
Fax: (601) 629-2723
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1306084637
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Sudderth — Owner · (601) 831-2799
NPI enumeratedJanuary 23, 2009
Last updated in NPPESFebruary 21, 2014
Mailing address188 Ymca Place, Vicksburg, MS 39183-3052

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