# PEARL RIVER COUNTY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Primecare Family Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881992055
- **Authorized official:** DR. CHARLES GRIFFITH MD (PHYSICIAN)
- **Authorized official phone:** (601) 310-3182

## Contact information

- **Practice address:** 104 HIGHWAY 589, PURVIS, MS 39475
- **Practice address phone:** (601) 242-3030
- **Mailing address:** 104 HIGHWAY 589, PURVIS, MS 39475
- **Mailing address phone:** (601) 242-3030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 17786 | MS | Yes |

## Other

- **Enumeration date:** 03/11/2011
- **Last updated:** 03/11/2011