Organization
CAL-MED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM FULCHER (MGR)
(601) 636-0097
Entity
Organization
Contact information
Practice address
1901 MISSION 66, VICKSBURG, MS 39180-3711
(601) 636-0097
Mailing address
1901 MISSION 66, VICKSBURG, MS 39180-3711
(601) 636-0097
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/11/2019
Last updated
09/17/2024
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