Organization
GUY T. VISE JR., M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUY T VISE JR. M.D. (OWNER)
(601) 366-5998
Entity
Organization
Contact information
Practice address
890 LAKELAND DR, JACKSON, MS 39216-4644
(601) 366-5998
(601) 366-4225
Mailing address
890 LAKELAND DR, JACKSON, MS 39216-4644
(601) 366-5998
(601) 366-4225
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
06369
MS
Other
Enumeration date
04/11/2007
Last updated
08/22/2020
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