Mclean, Vicky C

Mclean, Vicky C is an individual health care provider with primary practice located at 1200 N State St Suite 480, Jackson MS 39202-2000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Mclean, Vicky C can be contacted via phone (601) 352-2273.

Contact Information

Primary practice address
1200 N State St Suite 480 Jackson MS 39202-2000
Phone: (601) 352-2273
Fax: (601) 714-3415
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 21603 Mississippi

Profile Details

NPI number 1528221009
LBN Legal business name Mclean, Vicky C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2008
Last updated Feb 22nd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528221009 NPPES
Mississippi MEDICAID 09938503

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