OrganizationActive
Elite Care Family Medicine, LLC
NPI 1194128306 · Primary Care Clinic/Center · Guntown, MS
Provider details
- NPI number
- 1194128306
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Kevin Miller, Co Owner
- License
- 342 (MS)
Practice location
571 Mitchell St
Ste C
Guntown, MS 38849-8500
Phone: (662) 255-8324
Fax: (662) 348-2772
Mailing address
571 Mitchell St
Guntown, MS 38849-8500
Registry dates
- Enumerated
- 2014-10-01
- Last updated
- 2023-04-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.