Advance Care, LLC

NPI #1114427507 in Jackson, Mississippi

Provider Information

NPI Number: 1114427507
Entity Type: Organization
Organization Name: Advance Care, LLC
Primary Specialty: Family Medicine
Enumeration Date: Feb 13, 2018
Last Updated: Jun 16, 2018

Practice Location

Address: 14 NORTHTOWN DR STE 105
City: Jackson
State: Mississippi
ZIP Code: 39211-3018
Phone: (601) 397-4079

Authorized Official

Name: TYE ROLLINS
Title: CFO, CLINICAL DIRECTOR
Phone: (601) 397-4079

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X
Clinic/Center - Urgent Care — Urgent Care	261QU0200X
Family Medicine	207Q00000X	Primary

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