Mission Primary Care Clinic PLLC
Mission Primary Care Clinic PLLC provides Family Medicine Physician services in Vicksburg, Mississippi. Licensed in Mississippi. Registered with an NPI since 2007.
- Licensed in
- MS
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1901 Mission 66Vicksburg, MS 39180-3711
Phone: (601) 636-0097
Fax: (601) 629-9969
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|---|
| Family Nurse Practitioner | Taxonomy 363LF0000X · Licence R829001 (MS) |
Record details
| NPI number | 1487852018 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bill Fulcher — Adm · (601) 636-0097 |
| NPI enumerated | July 5, 2007 |
| Last updated in NPPES | May 25, 2022 |
| Certification date | May 25, 2022 |
| Mailing address | 1901 Mission 66, Vicksburg, MS 39180-3711 |
Other providers in Vicksburg
-
Carlos Alberto Latorre, MD
1901 Mission 66, Vicksburg, MS 39180-3711 · (601) 636-0097
-
Dr. Robert C Masterson, DO
1901 Mission 66, Vicksburg, MS 39180-3711 · (601) 636-8244
-
Mea Primary Care Plus, LLC
4204 Clay St, Vicksburg, MS 39183-3438 · (601) 619-7717
-
Medically Heard LLC
1901 Mission 66, Vicksburg, MS 39180-3711 · (601) 636-0097
-
Brandon Mizell, MD
114 Monument Pl Ste A, Vicksburg, MS 39180-5169 · (601) 738-5075
-
Shantwana Tashun Patterson
111 Granite Way, Vicksburg, MS 39183-6952 · (662) 299-1888
-
Christine S Peddapanga, DO
2200 Highway 61 N Ste 2400, Vicksburg, MS 39183-8246 · (601) 883-3340
-
Physician Management Services of Mississippi, LLC
1901 Mission 66, Vicksburg, MS 39180-3711 · (888) 829-8550