Vicksburg Clinic Llc is a Neurology Clinic in Vicksburg, Mississippi. It is located at 2100 Highway 61 N, Vicksburg, MS and its contact number is 601-883-5000. The authorized person for Vicksburg Clinic Llc is Debbie T Brewer
who is Director Of Provider Enrollment of the clinic and his/her contact number is 877-892-9813. Other organizations associated with this clinic are River Region Health System, Vicksburg Clinic Llc, Vicksburg Clinic Llc Clinic specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Complete Clinic Profile:
Vicksburg Clinic Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Vicksburg Clinic Llc
Specialization:
Neurology
Clinic Address:
2100 Highway 61 N, Vicksburg, Mississippi, 39183-8211
Phone:
601-883-5000
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Debbie T Brewer
Position:
Director Of Provider Enrollment
Contact Number:
877-892-9813
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Vicksburg Clinic Llc clinic are as mentioned below.
NPI Number:
1992722482
NPI Enumeration Date:
17 Jul, 2006
NPI Last Update On:
09 Jun, 2008
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
Name
Specialization
NPI Number
Vicksburg Clinic Llc
Neurology
1992722482
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Vicksburg Clinic Llc are as mentioned below.
Specialization
License Number
State
Status
Family Medicine
Primary
Neurology
Secondary
Internal Medicine
Secondary
Obstetrics & Gynecology
Secondary
Gastroenterology
Secondary
Pediatrics
Secondary
Surgery
Secondary
Cardiovascular Disease
Secondary
Pulmonary Disease
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
09015545
Medicaid
Mississippi
1444618
Medicaid
Louisiana
00720204
Medicaid
Mississippi
09015548
Medicaid
Mississippi
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Vicksburg Clinic Llc 2100 Highway 61 N, Vicksburg, Mississippi
Zip:
39183-8211
Phone Number:
601-883-5000
Patients can reach Vicksburg Clinic Llc at 2100 Highway 61 N, Vicksburg, Mississippi or can call to book an appointment on 601-883-5000. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.