| NPI | 1023779808 |
|---|---|
| Doing Business As | PREMIER FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | JAMES REED DAVIS Director 662-573-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2022-08-09 |