OrganizationActive
River City Medical and Arthritis Center LLC
NPI 1508229378 · Rheumatology Physician · Vicksburg, MS
Provider details
- NPI number
- 1508229378
- Entity type
- Organization
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Dedri Ivory, Owner
- License
- 21520 (MS)
Practice location
3510 Pemberton Square Blvd
Vicksburg, MS 39180-5506
Phone: (601) 501-6991
Fax: (601) 501-6987
Mailing address
3510 Pemberton Square Blvd
Vicksburg, MS 39180-5506
Registry dates
- Enumerated
- 2016-03-30
- Last updated
- 2017-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.