Organization · Type 2 NPI
Premise Health of Mississippi Medical PC
Multi-Specialty Clinic/Center · Ridgeland, MS
NPI number
1417620360
Active
Practice location
1800 E County Line Rd Ste 400
Ridgeland, MS 39157-1916
Mailing address
5500 Maryland Way
Brentwood, TN 37027-7048
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
Other multi-specialty clinic/center providers in Ridgeland
About NPI 1417620360
Premise Health of Mississippi Medical PC's National Provider Identifier is 1417620360, issued on Jul 27, 2021. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Ridgeland, MS. The record was last updated on Feb 4, 2026.