| P&s Primary Care, Pllc | |
|
900 Earl Frye Blvd Ste A Amory MS 38821-5507 | |
| (662) 256-9331 | |
| Not Available |
| Full Name | P&s Primary Care, Pllc |
|---|---|
| Speciality | Pediatrics |
| Location | 900 Earl Frye Blvd Ste A, Amory, Mississippi |
| Authorized Official Name and Position | Timothy Wayne Boden (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6622569331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| P&s Primary Care, Pllc 900 Earl Frye Blvd Ste A Amory MS 38821-5507 Ph: (662) 256-9331 | P&s Primary Care, Pllc 900 Earl Frye Blvd Ste A Amory MS 38821-5507 Ph: (662) 256-9331 |
| NPI Number | 1245872514 |
|---|---|
| Provider Enumeration Date | 10/08/2019 |
| Last Update Date | 10/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245872514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
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