| NPI | 1497188460 |
|---|---|
| Doing Business As | MEDICAL ASSOCIATES OF VICKSBURG |
| Entity Type | Organization |
| Authorized Contact | JOHN H MOORE Practice Administrator 601-262-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R871321) |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2013-08-14 |