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Organization
MEDICAL ASSOCIATES OF VICKSBURG PLLC
Active
Organization
MEDICAL ASSOCIATES OF VICKSBURG PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL PIERCE III MD (LLC MEMBER)
(601) 262-1000
Entity
Organization
Contact information
Practice address
2080 S FRONTAGE RD, VICKSBURG, MS 39180-5328
(601) 262-1000
(601) 262-1006
Mailing address
2080 S FRONTAGE RD, VICKSBURG, MS 39180-5328
(601) 262-1000
(601) 262-1006
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/29/2014
Last updated
05/29/2014
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