Vicksburg Clinic Llc, NPI 1659307791
Infectious Disease Physician in Vicksburg, MS, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1659307791
NPI Entity Type Organization
Provider Name Vicksburg Clinic Llc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 1115 N Frontage Rd, Vicksburg, MS, US
Provider Mailing Address 1115 N Frontage Rd, Vicksburg, MS, US, 391805102
Is Sole Proprietor? No
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Organization Official

Official Name Debbie T Brewer
Official Position DIRECTOR OF PROVIDER ENROLLMENT
Phone 877-892-9813

Group Taxonomy

Taxonomy Code 193200000X
Taxonomy Name 193200000X MULTI-SPECIALTY GROUP
Definition A business group of one or more individual practitioners, who practice with different areas of specialization.

Primary Taxonomy

Taxonomy Code

207RI0200X

Taxonomy Name Infectious Disease Physician
Classification

Internal Medicine

Group

Allopathic & Osteopathic Physicians

Description An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Business Address

Vicksburg Clinic Llc
1115 N Frontage Rd

Vicksburg, MS, US

Phone: 601-634-8790

Mailing Address

Vicksburg Clinic Llc
1115 N Frontage Rd
Vicksburg, MS, US
ZIP 391805102
Phone: 601-634-8790

Secondary Taxonomies

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
09015545 MS MEDICAID 05
09015549 MS MEDICAID 05
09015546 MS MEDICAID 05
09015547 MS MEDICAID 05
1111716 LA MEDICAID 05
00720204 MS MEDICAID 05

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