Search › Mississippi › 363L00000X
Allen Yelverton
NPI 1710472790 · on the registry since 2018 · sole proprietor
Practice
- Address
- 3317 Pemberton Square Blvd
Vicksburg, MS 39180 - Phone
- (601) 636-1173
- Fax
- (601) 638-8287
- Organisation at this address
- Vicksburg Clinic Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Additional practice sites
- 235 S 14th Ave, Laurel, MS
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-04-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi