Organization
VIBHA VIG MD PA
Active
Organization
VIBHA VIG MD PA
Active
Other names
Sunshine Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
VIBHA VIG MD (OWNER)
(601) 855-5287
Entity
Organization
Contact information
Practice address
156 RIVER OAKS DR, SUITE A, CANTON, MS 39046-5376
(601) 855-5287
(601) 855-5130
Mailing address
PO BOX 626, CANTON, MS 39046-0626
(601) 855-5287
(601) 855-5130
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
13655
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015814
—
MS
Enumeration date
10/19/2006
Last updated
03/15/2013
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