Provider Demographics
NPI:1588298301
Name:TOTAL FAMILY CARE, LLC
Entity type:Organization
Organization Name:TOTAL FAMILY CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:GRIFFIN
Authorized Official - Last Name:MULLINS
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:601-515-4949
Mailing Address - Street 1:PO BOX 4231
Mailing Address - Street 2:
Mailing Address - City:BROOKHAVEN
Mailing Address - State:MS
Mailing Address - Zip Code:39603-6231
Mailing Address - Country:US
Mailing Address - Phone:601-515-4949
Mailing Address - Fax:601-833-6575
Practice Address - Street 1:201 HIGHWAY 51 N STE A
Practice Address - Street 2:
Practice Address - City:BROOKHAVEN
Practice Address - State:MS
Practice Address - Zip Code:39601-2653
Practice Address - Country:US
Practice Address - Phone:601-515-4949
Practice Address - Fax:601-833-6575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-02
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty