VICKSBURG SPECIAL CARE CLINIC LLC

VICKSBURG, MS
NPI1487988002
Entity TypeOrganization
Authorized ContactMITCHELL CHAD BARRETT
Owner/Member
601-529-9341
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2009-09-29
Last Update Date2014-10-29
Business Address
VICKSBURG SPECIAL CARE CLINIC LLC
4077 PEMBERTON SQUARE BLVD
VICKSBURG, MS 39180-5580
Phone number: 601-638-8600
Mailing Address
VICKSBURG SPECIAL CARE CLINIC LLC
4077 PEMBERTON SQUARE BLVD
VICKSBURG, MS 39180-5580
Phone number: 601-638-8600