Organization
ELITE CARE FAMILY MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN MILLER NURSE PRACTITIONER (CO OWNER)
(662) 348-3342
Entity
Organization
Contact information
Practice address
571 MITCHELL ST, STE C, GUNTOWN, MS 38849-8500
(662) 255-8324
(662) 348-2772
Mailing address
571 MITCHELL ST, STE C, GUNTOWN, MS 38849-8500
(662) 348-3342
(662) 348-2772
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
342
MS
Other
Enumeration date
10/01/2014
Last updated
04/19/2023
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