PHYSICIAN PRACTICE OF MADISON, PC is a specialist in Vicksburg, MS. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PHYSICIAN PRACTICE OF MADISON, PC NPI is 1114476389. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Physician Practice Of Madison, Pc.
The provider's business location address is:
1111 N FRONTAGE RD FL 2
VICKSBURG, MS
ZIP 39180-102
Phone: (412) 721-2417
Fax: (601) 510-2367
The provider's authorized official is Shahjahan Sultan .
The authorized official title is Ceo and has the following contact phone number (412) 721-2417.
The enumeration date for this NPI number is 9/28/2016 and was last updated on 9/28/2016.