P&s Primary Care, Pllc | |
900 Earl Frye Blvd Ste A Amory MS 38821-5507 | |
(662) 256-9331 | |
Not Available |
Full Name | P&s Primary Care, Pllc |
---|---|
Speciality | Pediatrics |
Location | 900 Earl Frye Blvd Ste A, Amory, Mississippi |
Authorized Official Name and Position | Timothy Wayne Boden (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 6622569331 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
P&s Primary Care, Pllc 900 Earl Frye Blvd Ste A Amory MS 38821-5507 Ph: (662) 256-9331 | P&s Primary Care, Pllc 900 Earl Frye Blvd Ste A Amory MS 38821-5507 Ph: (662) 256-9331 |
NPI Number | 1245872514 |
---|---|
Provider Enumeration Date | 10/08/2019 |
Last Update Date | 10/08/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245872514 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
208000000X | Pediatrics | (* (Not Available)) | Primary |
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