Organization
PREMIER FAMILY PRACTICE, LLC
Active
Other names
Premier Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES REED DAVIS (DIRECTOR)
(662) 573-4800
Entity
Organization
Contact information
Practice address
219 8TH ST N, COLUMBUS, MS 39701-4723
(662) 610-4966
Mailing address
219 8TH ST N, COLUMBUS, MS 39701-4723
(662) 573-4800
(833) 673-1590
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/04/2022
Last updated
08/09/2022
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