Premier Medical Group of Mississippi LLC

NPI #1548219884 in Jackson, Mississippi

Provider Information

NPI Number
1548219884
Entity Type
Organization
Organization Name
Premier Medical Group of Mississippi LLC
Primary Specialty
Clinic/Center
Enumeration Date
May 5, 2006
Last Updated
Feb 16, 2009

Practice Location

Address
501 MARSHALL ST
Address 2
SUITE 208
ZIP Code
39202-1651
Phone
(601) 352-2273

Authorized Official

Name
MR. JAMES C BETHEA
Title
CEO
Phone
(601) 352-2273

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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