Organization
VICKSBURG CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY MUSIC (DIRECTOR PROVIDER ENROLLMENT)
(615) 465-7377
Entity
Organization
Contact information
Practice address
107 FRONT ST STE 1200, VIDALIA, LA 71373-2834
(318) 336-2220
(318) 336-6060
Mailing address
508 BROADWAY, DELHI, LA 71232-3002
(318) 878-3737
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208600000X
Surgery Physician
Primary
—
—
208800000X
Urology Physician
—
—
208D00000X
General Practice Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1444740
—
LA
Enumeration date
05/31/2007
Last updated
02/14/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us