| NPI | 1619268810 |
|---|---|
| Doing Business As | VICKSBURG MEDICAL SUPPLY |
| Entity Type | Organization |
| Authorized Contact | PATRICK E IGBOKWE Owner/Sole Member 601-636-3692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 07659/11.1) |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2011-06-27 |