Individual provider · NPI-1

George Abraham, MD

Family Medicine · Vicksburg, MS

NPI number1184669798
StatusActive
Last updated in NPPESSep 29, 2026

Details

NPI
1184669798
Entity type
Individual (NPI-1)
Name
George Abraham
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 18, 2006
Last updated
Sep 29, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine07276MSYes

Practice location

1907 Mission 66
Vicksburg, MS 39180-3711

Phone 601-619-3838

Mailing address

1907 Mission 66
Vicksburg, MS 39180-3711

Phone 601-619-3838

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine providers in Vicksburg, MS