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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