NPI | 1437416351 |
---|---|
Doing Business As | MEDICAL ASSOCIATES OF VICKSBURG |
Entity Type | Organization |
Authorized Contact | MICHAEL L GINGRAS Vice President 239-598-3131 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2012-04-17 |
Last Update Date | 2012-11-27 |