# BLADDER CONTROL SOLUTIONS, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063625960
- **Authorized official:** WILLIAM H FULCHER JR. (PRES)
- **Authorized official phone:** (601) 636-0097

## Contact information

- **Practice address:** 100 MAXWELL DR, VICKSBURG, MS 39183
- **Practice address phone:** (601) 636-0097
- **Practice address fax:** (601) 629-9969
- **Mailing address:** 1901 MISSION 66, VICKSBURG, MS 39180-3711
- **Mailing address phone:** (601) 636-0097
- **Mailing address fax:** (601) 629-9969

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 05/07/2007
- **Last updated:** 08/22/2020