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1013337658
VICKSBURG NEPHROLOGY LLC
VICKSBURG, MS
NPI
1013337658
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Entity Type
Organization
Authorized Contact
MICHAEL L DAVIS
Owner
601-738-5549
Organization Subpart ?
No
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
Enumeration Date
2014-04-22
Last Update Date
2014-04-22
Business Address
VICKSBURG NEPHROLOGY LLC
104 MCAULEY DR
VICKSBURG, MS 39183-2825
Phone number: 601-738-5549
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Mailing Address
VICKSBURG NEPHROLOGY LLC
PO BOX 820663
VICKSBURG, MS 39182-0663
Phone number: 601-738-5549
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