Internal Medicine, Infectious Disease
VICKSBURG CLINIC LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1659307791 · enumerated 2006-06-23 · record updated 2008-11-25. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: DEBBIE BREWER, DIRECTOR OF PROVIDER ENROLLMENT · (877) 892-9813
Addresses and phones
- Mailing address 1115 N FRONTAGE RD, VICKSBURG, MS, 39180-5102 (601) 634-8790 Google Maps Apple Maps OpenStreetMap
- Practice location 1115 N FRONTAGE RD, VICKSBURG, MS, 39180-5102 (601) 634-8790 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X
- Internal Medicine 207R00000X
- Allergy & Immunology, Allergy 207KA0200X
- Internal Medicine, Cardiovascular Disease 207RC0000X
- Pediatrics 208000000X
- Orthopaedic Surgery 207X00000X
- Psychiatry & Neurology, Neurology 2084N0400X
- Nurse Practitioner 363L00000X
- Urology 208800000X
- Surgery 208600000X
- Internal Medicine, Pulmonary Disease 207RP1001X
- Obstetrics & Gynecology, Obstetrics 207VX0000X
- Internal Medicine, Infectious Disease 207RI0200X · Primary
In this directory
MS Warren County Vicksburg Internal Medicine, Infectious Disease
Locations and evidence
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Practice location
VICKSBURG, MS, 391805102
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.