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Organization

MISSISSIPPI PRIMARY CARE MS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHATINA SPEARS MARTIN NP (PROVIDER/ADMINISTRATOR)
(601) 398-2847
Entity
Organization

Contact information

Practice address
7112 S SIWELL RD STE C, BYRAM, MS 39272-8744
(601) 622-5620
(601) 510-3883
Mailing address
7112 S SIWELL RD STE C, BYRAM, MS 39272-8744
(601) 398-2847
(601) 510-3883

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000135719
MS
Enumeration date
10/06/2025
Last updated
04/27/2026
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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