| Miller Family Care, Pllc | |
|
360 Simpson Highway 149 Ste 220 Magee MS 39111-3847 | |
| (601) 849-1220 | |
| (601) 849-5832 |
| Full Name | Miller Family Care, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 360 Simpson Highway 149 Ste 220, Magee, Mississippi |
| Authorized Official Name and Position | Kristina Danielle Wood (OWNER) |
| Authorized Official Contact | 6018491220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Miller Family Care, Pllc 360 Simpson Highway 149 Ste 220 Magee MS 39111-3847 Ph: (601) 849-1220 | Miller Family Care, Pllc 360 Simpson Highway 149 Ste 220 Magee MS 39111-3847 Ph: (601) 849-1220 |
| NPI Number | 1831619253 |
|---|---|
| Provider Enumeration Date | 06/27/2017 |
| Last Update Date | 02/02/2024 |
| Medicare PECOS PAC ID | 1355613332 |
|---|---|
| Medicare Enrollment ID | O20170825002195 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831619253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Debra K Develin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710906268 PECOS PAC ID: 1951301753 Enrollment ID: I20081028000569 |
| Provider Name | Kristina D Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215441589 PECOS PAC ID: 6901152784 Enrollment ID: I20180710000243 |
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