# MEA PRIMARY CARE PLUS, LLC

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

## Provider details

- **NPI number:** 1629557210
- **Authorized official:** ASHLEY BUIE (DIRECTOR OF BILLING)
- **Authorized official phone:** (601) 898-7530

## Contact information

- **Practice address:** 804 HIGHWAY 51, MADISON, MS 39110-8404
- **Practice address phone:** (601) 605-6146
- **Mailing address:** 804 HIGHWAY 51, MADISON, MS 39110-8404
- **Mailing address phone:** (601) 605-6146

## Taxonomy

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

## Other

- **Enumeration date:** 08/14/2018
- **Last updated:** 08/14/2018