Vicksburg Medical Teams Mht Llc

LBN: Vicksburg Medical Teams Mht Llc
Vicksburg Medical Teams Mht Llc is an health care organization with primary practice located at 2080 S Frontage Rd Suite 100, Vicksburg MS 39180-5328. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Vicksburg Medical Teams Mht Llc can be contacted via phone (601) 529-5466, or through Pierce, Sam via phone (601) 262-1000.

Contact Information

Primary practice address
2080 S Frontage Rd Suite 100 Vicksburg MS 39180-5328
Phone: (601) 529-5466
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pierce, Sam Doctor of Medicine (MD)
Phone: (601) 262-1000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1023419801
LBN Legal business name Vicksburg Medical Teams Mht Llc
DBA Doing business as
Authorized official Pierce, Sam Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 11th, 2014
Last updated Jan 2nd, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers