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Organization

VIBHA VIG MD PA

Active
Other names
Sunshine Medical Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
VIBHA VIG M.D. (OWNER)
(601) 855-5287
Entity
Organization

Contact information

Practice address
303 ELLIS ST., CARTHAGE, MS 39051-4014
(601) 267-0544
(601) 267-5092
Mailing address
PO BOX 626, CANTON, MS 39046-0626
(601) 267-0544
(601) 267-5092

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
13655
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09015926
MS
Enumeration date
10/02/2006
Last updated
07/21/2008
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