Vicksburg Special Care Clinic LLC
Vicksburg Special Care Clinic LLC provides Family Medicine Physician services in Vicksburg, Mississippi. Registered with an NPI since 2009.
- In the registry since
- 2009
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4077 Pemberton Square BlvdVicksburg, MS 39180-5580 Not confirmed with CMS for 11 years — call before visiting
Phone: (601) 638-8600
Fax: (601) 638-8661
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1487988002 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mitchell Barrett — Owner/Member · (601) 529-9341 |
| NPI enumerated | September 29, 2009 |
| Last updated in NPPES | October 29, 2014 |
| Mailing address | 4077 Pemberton Square Blvd, Vicksburg, MS 39180-5580 |
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Vicksburg Clinic LLC
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Vicksburg Clinic LLC
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Vicksburg Medical Teams Mht LLC
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Vicksburg Primary Care Team Inc
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William E Johnston MD Inc
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