Organization
VICKSBURG CLINIC LLC
Active
Other names
One Medical Plaza - RHC
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES P WRIGHT (SENIOR DIRECTOR PHYSICAN BUSINESS)
(615) 465-7587
Entity
Organization
Contact information
Practice address
1 MEDICAL PLAZA DR, VICKSBURG, MS 39180-5187
(601) 883-3360
(601) 883-3364
Mailing address
4000 MERIDIAN BLVD, FRANKLIN, TN 37067-6325
(615) 465-7000
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/14/2015
Last updated
05/18/2015
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