Vicksburg Special Care Clinic Llc - Primary Care in Vicksburg, MS

Vicksburg Special Care Clinic Llc is a primary clinic (Family Medicine) in Vicksburg, Mississippi. The current practice location for Vicksburg Special Care Clinic Llc is 4077 Pemberton Square Blvd, Vicksburg, Mississippi. For appointments, you can reach them via phone at (601) 638-8600. The mailing address for Vicksburg Special Care Clinic Llc is 4077 Pemberton Square Blvd, Vicksburg, Mississippi and phone number is (601) 638-8600.

Vicksburg Special Care Clinic Llc is licensed to practice in * (Not Available) (license number ) and its NPI number is 1487988002. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (601) 638-8600.

Contact Information

Vicksburg Special Care Clinic Llc
4077 Pemberton Square Blvd
Vicksburg
MS 39180-5580
(601) 638-8600
(601) 638-8661

Primary Care Clinic Profile

Full NameVicksburg Special Care Clinic Llc
SpecialityFamily Medicine
Location4077 Pemberton Square Blvd, Vicksburg, Mississippi
Authorized Official Name and PositionMitchell Chad Barrett (OWNER/MEMBER)
Authorized Official Contact6015299341
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Vicksburg Special Care Clinic Llc
4077 Pemberton Square Blvd
Vicksburg
MS 39180-5580

Ph: (601) 638-8600
Vicksburg Special Care Clinic Llc
4077 Pemberton Square Blvd
Vicksburg
MS 39180-5580

Ph: (601) 638-8600

NPI Details:

NPI Number1487988002
Provider Enumeration Date09/29/2009
Last Update Date10/29/2014

Medical Identifiers

Medical identifiers for Vicksburg Special Care Clinic Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487988002NPI-NPPES
01483541MedicaidMS
01123325MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary

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