WEST MISSISSIPPI MEDICAL SERVICES VICKSBURG, MS

Contact Information

WEST MISSISSIPPI MEDICAL SERVICES

100 MCAULEY DR
VICKSBURG, MS 39183-2825

Phone: 601-883-3532
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Addiction Medicine	207QA0401X	08	Physician/Family Practice

Indicates primary specialty

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NPI Profile & details for WEST MISSISSIPPI MEDICAL SERVICES · (Female)

NPI #	`1215451794`
Status	Active
Credentials
Entity	Individual
Enumeration date	07/27/2017
Last updated	07/27/2017 - About 9 years ago
Sole proprietor ¹	Not specified
Identifiers	MS License # 10687
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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