| Compudoc | |
|
1713 Clay St Suite 5 Vicksburg MS 39183-3048 | |
| (601) 638-7007 | |
| (601) 638-0760 |
| Full Name | Compudoc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1713 Clay St, Vicksburg, Mississippi |
| Authorized Official Name and Position | Lemont T Norris (PRESIDENT) |
| Authorized Official Contact | 6016387007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Compudoc 1713 Clay St Suite 5 Vicksburg MS 39183-3048 Ph: () - | Compudoc 1713 Clay St Suite 5 Vicksburg MS 39183-3048 Ph: (601) 638-7007 |
| NPI Number | 1306050323 |
|---|---|
| Provider Enumeration Date | 05/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306050323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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