# PREMIER INTERVENTIONAL RADIOLOGY CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PREMIER RADIOLOGY, PA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1871838490
- **Legal business name:** PREMIER RADIOLOGY, PA
- **Authorized official:** MR. VERNON W BARROW III MD (PRESIDENT)
- **Authorized official phone:** (662) 842-1758

## Contact information

- **Practice address:** 891 MISSISSIPPI DR, TUPELO, MS 38804-0934
- **Practice address phone:** (662) 620-7111
- **Practice address fax:** (662) 377-7954
- **Mailing address:** 620 CROSSOVER ROAD, TUPLEO, MS 38801-4944
- **Mailing address phone:** (662) 842-1758
- **Mailing address fax:** (662) 844-8298

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/07/2012
- **Last updated:** 02/14/2017