VINE MEDICAL ASSOCIATES LLC NPI 1497098651

NPI Information

  • NPI: 1497098651
  • Provider Name: VINE MEDICAL ASSOCIATES LLC
  • Classification: Internal Medicine - 207RI0200X
  • Specialization: Infectious Disease
  • Entity Type: Organization
  • Address: 2100 HIGHWAY 61 N
    VICKSBURG, MS
    ZIP 39183
  • Phone: (601) 883-5000

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NPI Details

VINE MEDICAL ASSOCIATES LLC is an infectious disease internal medicine in Vicksburg, MS. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. VINE MEDICAL ASSOCIATES LLC NPI is 1497098651. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2100 HIGHWAY 61 N
VICKSBURG, MS
ZIP 39183-211
Phone: (601) 883-5000

The provider's authorized official is Olatunji Oluwatade .
The authorized official title is Ceo and has the following contact phone number (601) 883-5000.

The enumeration date for this NPI number is 4/5/2013 and was last updated on 4/5/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RI0200XInternal MedicineInfectious DiseaseYes

What is NPI?

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This page was last updated on: 11/21/2025

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