| Mea Primary Care Plus, LLC | |
|
106 Lake Vista Pl Brandon MS 39047-6384 | |
| (601) 919-2924 | |
| (601) 992-7347 |
| Full Name | Mea Primary Care Plus, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 106 Lake Vista Pl, Brandon, Mississippi |
| Authorized Official Name and Position | Ashley Buie (DIRECTOR OF BILLING) |
| Authorized Official Contact | 6018987530 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mea Primary Care Plus, LLC 106 Lake Vista Pl Brandon MS 39047-6384 Ph: (601) 919-2924 | Mea Primary Care Plus, LLC 106 Lake Vista Pl Brandon MS 39047-6384 Ph: (601) 919-2924 |
| NPI Number | 1467937029 |
|---|---|
| Provider Enumeration Date | 09/30/2018 |
| Last Update Date | 09/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467937029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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