Organization
FAMILY MED 101, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FELESHA D PERRIGO FNP (OWNER/NURSE PRACTITIONER)
(662) 720-4919
Entity
Organization
Contact information
Practice address
101 MIMOSA ST, BOONEVILLE, MS 38829-2911
(662) 720-4919
(662) 720-4980
Mailing address
PO BOX 60, BOONEVILLE, MS 38829-0060
(662) 720-4919
(662) 720-4980
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
R763457
MS
Other
Enumeration date
09/27/2006
Last updated
11/09/2017
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