| Vicksburg Clinic Llc | |
|
508 Broadway Delhi LA 71232-3002 | |
| (318) 878-3737 | |
| Not Available |
| Full Name | Vicksburg Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 508 Broadway, Delhi, Louisiana |
| Authorized Official Name and Position | Debbie T Brewer (DIRECTOR OF PROVIDER ENRILLMENT) |
| Authorized Official Contact | 8778929813 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vicksburg Clinic Llc 508 Broadway Delhi LA 71232-3002 Ph: (318) 878-3737 | Vicksburg Clinic Llc 508 Broadway Delhi LA 71232-3002 Ph: (318) 878-3737 |
| NPI Number | 1629279054 |
|---|---|
| Provider Enumeration Date | 05/31/2007 |
| Last Update Date | 06/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629279054 | NPI | - | NPPES |
| 1444740 | Medicaid | LA |
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