Organization
VICKSBURG PATHOLOGY LABORATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EVELYN H WHATLEY (MANAGER)
(601) 445-6789
Entity
Organization
Contact information
Practice address
1911 MISSION 66, VICKSBURG, MS 39180-3762
(601) 629-9940
(601) 629-9930
Mailing address
1911 MISSION 66, VICKSBURG, MS 39180-3762
(601) 629-9940
(601) 629-9930
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
02/01/2007
Last updated
08/22/2020
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