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Premier Medical Group Of Mississippi Llc
Clinic/Center in Kosciusko, Mississippi
NPI 1790827038

Premier Medical Group Of Mississippi Llc is a Clinic/Center based in Jackson, MS. Premier Medical Group Of Mississippi Llc practices in Kosciusko, MS. The NPI Number for Premier Medical Group Of Mississippi Llc is 1790827038 and holds a License No. (Mississippi).

The current practice location address for Premier Medical Group Of Mississippi Llc is 332 Highway 12 W, Kosciusko, MS and can be reached out via phone at 662-289-1800.

Location: 332 Highway 12 W, Kosciusko, MS, 39225-3996
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790827038
Provider Name
Premier Medical Group Of Mississippi Llc
Credential
Provider Entity Type
Organization
Address
332 Highway 12 W, Kosciusko, MS, 39225-3996
Phone Number
662-289-1800
Fax Number
Provider Enumeration Date
02/13/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09015162 05 MS
CG1185 01 MS RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
332 Highway 12 W
City
Kosciusko
State
Mississippi
Zip
39090-3209
Phone Number
662-289-1800
Fax Number
person
Provider Business Mailing Address Details
Address
332 Highway 12 W
City
Kosciusko
State
Mississippi
Zip
39090-3209
Phone Number
662-289-1800
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
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Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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