# HEALTHYCONNECT PRIMARY CARE OF MISSISSIPPI LLC

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

## Provider details

- **NPI number:** 1770324659
- **Authorized official:** FRED BURRIS (CFO)
- **Authorized official phone:** (813) 334-7442

## Contact information

- **Practice address:** 1880 LAKELAND DR STE E, JACKSON, MS 39216-4916
- **Practice address phone:** (601) 914-2109
- **Mailing address:** 1880 LAKELAND DR STE E, JACKSON, MS 39216-4916

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/04/2024
- **Last updated:** 04/02/2026