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Contact Information

PRIME HEART AND VASCULAR CARE
1310 HWY 72E
CORINTH, MS38834
 Phone: 662-594-4123
 Fax: 662-594-2296
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for PRIME HEART AND VASCULAR CARE · (Female)

NPI Number 1104434356
Status Active
Credentials
Entity Individual
Enumeration date 07/14/2020
Last updated 07/07/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers
  • MS Medicaid 03005201
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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