# UNIVERSITY FAMILY MEDICINE ASSOCIATES, PLLC

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

## Provider details

- **NPI number:** 1396846648
- **Authorized official:** MRS. DIANE K BEEBE M.D. (PROFESSOR/INTERIM CHAIRMAN)
- **Authorized official phone:** (601) 984-5410

## Contact information

- **Practice address:** 878 LAKELAND DRIVE, JACKSON, MS 39216
- **Practice address phone:** (601) 984-6800
- **Practice address fax:** (601) 984-6812
- **Mailing address:** P.O BOX 4999, JACKSON, MS 39296
- **Mailing address phone:** (601) 984-5410
- **Mailing address fax:** (601) 815-3771

## Taxonomy

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

## Other

- **Enumeration date:** 09/26/2006
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 09014106 | — | MS |
| 05 | — | 09014130 | — | MS |