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1134896038
VICKSBURG SPINE CENTER, LLC
VICKSBURG, MS
NPI
1134896038
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Entity Type
Organization
Authorized Contact
SHANNON HYLTON
Manager
816-547-5498
Organization Subpart ?
No
Primary Taxonomy
261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date
2021-08-27
Last Update Date
2024-08-22
Business Address
VICKSBURG SPINE CENTER, LLC
1903C MISSION 66
VICKSBURG, MS 39180-3711
Phone number: 601-883-6304
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Mailing Address
VICKSBURG SPINE CENTER, LLC
11417 NE STATE ROUTE 33
LIBERTY, MO 64068-7306
Phone number: 816-547-5498
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