| Vpa Pc Specialty Int Ms | |
|
111 E Capitol St Ste 500 Jackson MS 39201-2122 | |
| (248) 434-6169 | |
| (855) 618-6655 |
| Full Name | Vpa Pc Specialty Int Ms |
|---|---|
| Speciality | Family Medicine |
| Location | 111 E Capitol St Ste 500, Jackson, Mississippi |
| Authorized Official Name and Position | Jeffrey Stevens (OWNER) |
| Authorized Official Contact | 2488246600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vpa Pc Specialty Int Ms Po Box 639295 Dept 93394 Cincinnati OH 45263-9295 Ph: (248) 434-6169 | Vpa Pc Specialty Int Ms 111 E Capitol St Ste 500 Jackson MS 39201-2122 Ph: (248) 434-6169 |
| NPI Number | 1053932319 |
|---|---|
| Provider Enumeration Date | 04/28/2020 |
| Last Update Date | 10/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053932319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
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