| Prime Health & Wellness | |
|
225 Community Dr Fayette MS 39069-7701 | |
| (601) 786-8655 | |
| (601) 786-8656 |
| Full Name | Prime Health & Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 225 Community Dr, Fayette, Mississippi |
| Authorized Official Name and Position | Cinda Perryman (FNP) |
| Authorized Official Contact | 6017868655 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Health & Wellness Po Box 36 Fayette MS 39069-0036 Ph: (601) 786-8655 | Prime Health & Wellness 225 Community Dr Fayette MS 39069-7701 Ph: (601) 786-8655 |
| NPI Number | 1194387217 |
|---|---|
| Provider Enumeration Date | 06/28/2019 |
| Last Update Date | 08/04/2020 |
| Medicare PECOS PAC ID | 3577996867 |
|---|---|
| Medicare Enrollment ID | O20191126003011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194387217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Cinda Jackson Perryman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841699758 PECOS PAC ID: 6709166275 Enrollment ID: I20161130000482 |
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