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General NPI Number Information
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NPI Number | 1831608686
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Entity Type | Organization
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Legal Business Name | COMPLETE FAMILY MEDICAL, LLC
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Dates
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Enumeration Date | 09/25/2017
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Last Update Date | 07/27/2022
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Provider Practice Location Address
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Address Line | 201 HIGHWAY 51 N STE A
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City | BROOKHAVEN
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State | MS
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Zip | 39601-2653
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Country | US
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Telephone | 601-833-5333
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Fax |
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Provider Business Mailing Address
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Address Line | 201 HIGHWAY 51 N STE A
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City | BROOKHAVEN
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State | MS
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Zip | 39601-2653
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Country | US
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Telephone | 601-833-5333
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Fax |
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Authorized Official
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Title or Position | PARTNER/ OWNER
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Name | BRITTANY NICOLE GRIFFIN
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Credential | NP
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Telephone | 601-748-6238
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 902069
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R871958
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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