Organization
VICKSBURG CLINIC LLC
Active
Organization
VICKSBURG CLINIC LLC
Active
Other names
River Region Rural Health - FM
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE T BREWER (DIRECTOR)
(877) 892-9813
Entity
Organization
Contact information
Practice address
1907 MISSION 66, VICKSBURG, MS 39180-3711
(601) 636-1173
Mailing address
4000 MERIDIAN BLVD, ATTN: DEBBIE BREWER, FRANKLIN, TN 37067-6325
(615) 465-7626
(615) 465-2815
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
MS
Other
Enumeration date
07/17/2009
Last updated
08/12/2009
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