# PRIME HEALTH & WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194387217
- **Authorized official:** CINDA PERRYMAN (FNP)
- **Authorized official phone:** (601) 786-8655

## Contact information

- **Practice address:** 225 COMMUNITY DR, FAYETTE, MS 39069-7701
- **Practice address phone:** (601) 786-8655
- **Practice address fax:** (601) 786-8656
- **Mailing address:** PO BOX 36, FAYETTE, MS 39069-0036
- **Mailing address phone:** (601) 786-8655
- **Mailing address fax:** (601) 786-8656

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/28/2019
- **Last updated:** 08/04/2020
