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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PHYSICIAN PRACTICE OF MADISON, PC

Active Organization

PHYSICIAN PRACTICE OF MADISON, PC is a Specialist organization located in VICKSBURG, Mississippi. NPI 1114476389 is currently active in the NPPES registry. Verify at CMS.

Specialist · VICKSBURG, MS

Registration Details

NPI Number
1114476389
Provider Type
Organization
NPI Issued
Sep 28, 2016 (9.8985113210636 yrs)
Last Updated
Sep 28, 2016
License
21500 (MS)

Practice Information

Address
1111 N FRONTAGE RD FL 2
VICKSBURG, MS, 391805102
Browse MS providers · Browse ZIP 39180
Phone
4127212417
Fax
6015102367
Primary Specialty
Specialist
174400000X

Other Specialist Organizations in VICKSBURG, MS

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.