# GUARDIAN PRIMARY CARE LLC

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

## Provider details

- **NPI number:** 1568286110
- **Authorized official:** PRESTON THOMAS HOLIFIELD (OWNER)
- **Authorized official phone:** (573) 200-6390

## Contact information

- **Practice address:** 2441 MYRA DR, CAPE GIRARDEAU, MO 63703-5803
- **Practice address phone:** (573) 200-6390
- **Practice address fax:** (573) 755-0706
- **Mailing address:** 2441 MYRA DR, CAPE GIRARDEAU, MO 63703-5803
- **Mailing address phone:** (573) 200-6390
- **Mailing address fax:** (573) 755-0706

## Taxonomy

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

## Other

- **Enumeration date:** 11/11/2024
- **Last updated:** 04/11/2026