Organization
WARE FAMILY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY KIRBY WARE NURSE PRACTITIONER (OWNER)
(601) 543-5859
Entity
Organization
Contact information
Practice address
972 COLUMBIA AVE, PRENTISS, MS 39474-5405
(601) 792-5343
Mailing address
PO BOX 2275, PRENTISS, MS 39474-2275
(601) 792-5343
(601) 792-5345
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/01/2022
Last updated
08/08/2023
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