# MEA PRIMARY CARE PLUS LLC

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

## Provider details

- **NPI number:** 1356840490
- **Authorized official:** ASHLEY BUIE (IT MANAGER)
- **Authorized official phone:** (601) 898-7530

## Contact information

- **Practice address:** 507 LAKELAND PL, FLOWOOD, MS 39232-6557
- **Practice address phone:** (601) 992-2200
- **Mailing address:** 507 LAKELAND PL, FLOWOOD, MS 39232-6557

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/05/2018
- **Last updated:** 02/05/2018