VICKSBURG SPINE CENTER, LLC

VICKSBURG, MS
NPI1134896038
Entity TypeOrganization
Authorized ContactJOEY DAUGHERTY
Administrator
601-703-3076
Organization Subpart ?No
Primary Taxonomy207LP2900X Anesthesiology, Pain Medicine
Enumeration Date2021-08-27
Last Update Date2021-08-27
Business Address
VICKSBURG SPINE CENTER, LLC
2080 S FRONTAGE RD STE 106
VICKSBURG, MS 39180-5882
Phone number: 601-883-6304
Mailing Address
VICKSBURG SPINE CENTER, LLC
11417 NE STATE ROUTE 33
LIBERTY, MO 64068-7306
Phone number: 816-547-5498
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