Organization
VML MEDICAL SERVICES OF BOONEVILLE INC
Active
Other names
Ally Family Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICKI MICHELLE LAMBERT DNP, CFNP (OWNER)
(662) 365-2725
Entity
Organization
Contact information
Practice address
121 SOUTH SECOND STREET, BALDWYN, MS 38824
(662) 365-2725
(662) 365-2737
Mailing address
121 SOUTH SECOND STREET, BALDWYN, MS 38824
(662) 365-2725
(662) 365-2737
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
R574996
MS
261QR1300X
Rural Health Clinic/Center
Primary
R863085
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01352318
—
MS
Enumeration date
10/15/2010
Last updated
06/20/2018
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