| Mea Primary Care Plus LLC | |
|
1777 Ellis Ave Jackson MS 39204-3616 | |
| (601) 371-0400 | |
| Not Available |
| Full Name | Mea Primary Care Plus LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 1777 Ellis Ave, Jackson, Mississippi |
| Authorized Official Name and Position | Wayne Whitley (CEO) |
| Authorized Official Contact | 6018987500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mea Primary Care Plus LLC 308 Corporate Dr Ridgeland MS 39157-8803 | Mea Primary Care Plus LLC 1777 Ellis Ave Jackson MS 39204-3616 Ph: (601) 371-0400 |
| NPI Number | 1821533852 |
|---|---|
| Provider Enumeration Date | 12/29/2016 |
| Last Update Date | 12/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821533852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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