Organization · Type 2 NPI
Premier Medical Management of Mississippi, Inc
Endoscopy Clinic/Center · Jackson, MS
NPI number
1053483735
Active
Practice location
501 Marshall St, Suite 201
Jackson, MS 39202-1651
Fax (601) 353-4414
Mailing address
864 Wilson Dr, Suite C
Ridgeland, MS 39157-4512
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Endoscopy Clinic/Center Primary | 261QE0800X | None listed |
Endoscopy Clinic/Center: Definition to come...
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About NPI 1053483735
Premier Medical Management of Mississippi, Inc's National Provider Identifier is 1053483735, issued on Nov 15, 2006. The primary taxonomy on file is Endoscopy Clinic/Center (261QE0800X), and the practice location is in Jackson, MS. The record was last updated on Sep 16, 2011.