| Premier Family Medicine, Pllc | |
|
1493 Highway 17 Camden MS 39045-9524 | |
| (769) 666-9162 | |
| (877) 760-0717 |
| Full Name | Premier Family Medicine, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1493 Highway 17, Camden, Mississippi |
| Authorized Official Name and Position | Takita Murriel (OWNER) |
| Authorized Official Contact | 6625603874 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Family Medicine, Pllc 109 Hidden Holw Madison MS 39110-4558 Ph: () - | Premier Family Medicine, Pllc 1493 Highway 17 Camden MS 39045-9524 Ph: (769) 666-9162 |
| NPI Number | 1043825110 |
|---|---|
| Provider Enumeration Date | 09/14/2020 |
| Last Update Date | 08/16/2021 |
| Medicare PECOS PAC ID | 6800291758 |
|---|---|
| Medicare Enrollment ID | O20210816003557 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043825110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Takita M Murriel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578827739 PECOS PAC ID: 0446560346 Enrollment ID: I20151105000113 |
Camden Community Family Health Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1493 Highway 17, Camden, MS 39045 Phone: 601-859-2999 Fax: 601-859-2999 |