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Organization

TUPELO PRIMARY CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMY MILLER NP (OWNER)
(850) 227-8561
Entity
Organization

Contact information

Practice address
412 N HIGHWAY 71, WEWAHITCHKA, FL 32465-4061
(850) 227-8561
Mailing address
412 N HIGHWAY 71, WEWAHITCHKA, FL 32465-4061
(850) 227-8561

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary

Other

Enumeration date
01/31/2023
Last updated
08/25/2023
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