National Provider Identifier Database

RIVER CITY MEDICAL AND ARTHRITIS CENTER LLC
Rheumatology

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.


Contact Information

RIVER CITY MEDICAL AND ARTHRITIS CENTER LLC
3510 PEMBERTON SQUARE BLVD
VICKSBURG, MS39180-5506
Phone: 601-501-6991
Fax: 601-501-6987
Website:
Specialty Taxonomy Code
* Rheumatology 207RR0500X

* Indicates primary specialty

NPI Profile & details for RIVER CITY MEDICAL AND ARTHRITIS CENTER LLC

NPI Number 1508229378
Legal business name
LBN
RIVER CITY MEDICAL AND ARTHRITIS CENTER LLC
Authorized official DEDRI IVORY - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 03/30/2016
Last updated 01/13/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • MS License #: 21520
  • MS Medicaid: 08551324

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.

Reviews for RIVER CITY MEDICAL AND ARTHRITIS CENTER LLC

There are currently no reviews for RIVER CITY MEDICAL AND ARTHRITIS CENTER LLC


NPIdb - Home
v2.201