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Organization
PREMIER INTERVENTIONAL RADIOLOGY CLINIC
Active
Organization
PREMIER INTERVENTIONAL RADIOLOGY CLINIC
Active
Parent organization
PREMIER RADIOLOGY, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
PREMIER RADIOLOGY, PA
Authorized official
MR. VERNON W BARROW III MD (PRESIDENT)
(662) 842-1758
Entity
Organization
Contact information
Practice address
891 MISSISSIPPI DR, TUPELO, MS 38804-0934
(662) 620-7111
(662) 377-7954
Mailing address
620 CROSSOVER ROAD, TUPLEO, MS 38801-4944
(662) 842-1758
(662) 844-8298
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
NULL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
12/07/2012
Last updated
02/14/2017
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