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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