OrganizationActive
Vine Medical Associates LLC
NPI 1497098651 · Infectious Disease Physician · Vicksburg, MS
Provider details
- NPI number
- 1497098651
- Entity type
- Organization
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Olatunji Oluwatade, Ceo(601) 883-5000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2100 Highway 61 N
Vicksburg, MS 39183-8211
Phone: (601) 883-5000
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1547
Sedalia, MO 65302-1547
Registry dates
- Enumerated
- 2013-04-05
- Last updated
- 2013-04-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.