NPI | 1497436331 |
---|---|
Doing Business As | MERIT HEALTH VICKSBURG |
Entity Type | Organization |
Authorized Contact | JENNIFER L JACKSON Sr. Director Provider Enrollment 615-465-3334 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 208M00000X Hospitalist |
261QE0002X Clinic/Center, Emergency Care | |
Enumeration Date | 2023-07-25 |
Last Update Date | 2023-08-09 |