National Provider Identifier Database

VICKSBURG NEPHROLOGY LLC
Nephrology

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.


Contact Information

VICKSBURG NEPHROLOGY LLC
1202 MISSION PARK DRIVE
VICKSBURG, MS39180
Phone: 601-738-5549
Fax: 601-630-9120
Website:
Specialty Taxonomy Code
* Nephrology 207RN0300X

* Indicates primary specialty

NPI Profile & details for VICKSBURG NEPHROLOGY LLC

NPI Number 1013337658
Legal business name
LBN
VICKSBURG NEPHROLOGY LLC
Authorized official MICHAEL DAVIS - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 04/22/2014
Last updated 04/22/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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