Primary Family Medical Clinic
NPI #1093204158 in Byram, Mississippi
Provider Information
- NPI Number
- 1093204158
- Entity Type
- Organization
- Organization Name
- Primary Family Medical Clinic
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- May 4, 2018
- Last Updated
- Oct 29, 2019
Practice Location
- Address
- 100 MARKER PLACE DR. STE D
- City
- Byram
- State
- Mississippi
- ZIP Code
- 39272
- Phone
- (601) 672-4661
Authorized Official
- Name
- SANDRA FAYE THOMAS, DNP,
- Title
- FAMILY NURSE PRACTITIONER
- Phone
- (601) 372-1221
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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