West Mississippi Medical Services
West Mississippi Medical Services provides Addiction Medicine (Family Medicine) Physician services in Vicksburg, Mississippi. Licensed in Mississippi. Registered with an NPI since 2017.
- Licensed in
- MS
- In the registry since
- 2017
Practice location Address checks out
100 McAuley DrVicksburg, MS 39183-2825
Phone: (601) 883-3532
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction Medicine (Family Medicine) Physician (primary) | Taxonomy 207QA0401X · Licence 10687 (MS) |
|---|
Record details
| NPI number | 1215451794 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Stanley Easterling — Owner · (601) 636-8184 |
| NPI enumerated | July 27, 2017 |
| Last updated in NPPES | July 27, 2017 |
| Mailing address | 607 Tiffintown Rd, Vicksburg, MS 39183-1503 |