# PREMIER ANESTHESIA OF MISSISSIPPI LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Premier Anesthesia of Mississippi
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033400197
- **Authorized official:** JAMIE GRIFFITH (DIRECTOR)
- **Authorized official phone:** (678) 690-7822

## Contact information

- **Practice address:** 1400 E UNION ST, GREENVILLE, MS 38703-3246
- **Practice address phone:** (770) 643-5501
- **Practice address fax:** (404) 941-1304
- **Mailing address:** 2655 NORTHWINDS PKWY, ALPHARETTA, GA 30009-2280
- **Mailing address phone:** (770) 643-5501
- **Mailing address fax:** (404) 941-1304

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | NULL | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | — | — |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |
| 367H00000X | Anesthesiologist Assistant | — | NULL | — |
| 367H00000X | Anesthesiologist Assistant | — | — | — |

## Other

- **Enumeration date:** 04/25/2011
- **Last updated:** 11/13/2020