Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic |
| NPI # | 1336722669 |
| LBN Legal business name | VIP MIDSOUTH, LLC |
| Authorized official | ROBERT BRANHAM - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/04/2021 |
| Last updated | 03/23/2026 - About 3 months ago |
| Identifiers | n/a |
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