| Mea Primary Care Plus Llc | |
|
112 Southlake Cir Canton MS 39046-5368 | |
| (601) 859-8550 | |
| Not Available |
| Full Name | Mea Primary Care Plus Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 112 Southlake Cir, Canton, Mississippi |
| Authorized Official Name and Position | Ashley Buie (IT MANAGER) |
| Authorized Official Contact | 6018987530 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mea Primary Care Plus Llc 112 Southlake Cir Canton MS 39046-5368 Ph: () - | Mea Primary Care Plus Llc 112 Southlake Cir Canton MS 39046-5368 Ph: (601) 859-8550 |
| NPI Number | 1073012118 |
|---|---|
| Provider Enumeration Date | 02/05/2018 |
| Last Update Date | 02/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073012118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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