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Organization

VICKSBURG SPINE CENTER, LLC

Active
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Organization

VICKSBURG SPINE CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHANNON HYLTON RN (MANAGER)
(816) 547-5498
Entity
Organization

Contact information

Practice address
1903C MISSION 66, VICKSBURG, MS 39180-3711
(601) 883-6304
Mailing address
1903C MISSION 66, VICKSBURG, MS 39180-3711
(601) 883-6304

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—

Other

Enumeration date
08/27/2021
Last updated
08/11/2026
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