Organization
MEA PRIMARY CARE PLUS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY BUIE (DIRECTOR OF BILLING)
(601) 898-7530
Entity
Organization
Contact information
Practice address
4204 CLAY ST, VICKSBURG, MS 39183-3438
(601) 619-7717
Mailing address
4204 CLAY ST, VICKSBURG, MS 39183-3438
(601) 619-7717
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/30/2018
Last updated
09/30/2018
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