VICKSBURG NEPHROLOGY LLC

VICKSBURG, MS
NPI1013337658
Entity TypeOrganization
Authorized ContactMICHAEL L DAVIS
Owner
601-738-5549
Organization Subpart ?No
Primary Taxonomy207RN0300X Internal Medicine, Nephrology
Enumeration Date2014-04-22
Last Update Date2014-04-22
Business Address
VICKSBURG NEPHROLOGY LLC
104 MCAULEY DR
VICKSBURG, MS 39183-2825
Phone number: 601-738-5549
Mailing Address
VICKSBURG NEPHROLOGY LLC
PO BOX 820663
VICKSBURG, MS 39182-0663
Phone number: 601-738-5549