Organization
PREMIER ORTHOPAEDICS & SPORTS MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN COLE (OFFICE MANAGER)
(601) 296-2100
Entity
Organization
Contact information
Practice address
5003 HARDY ST, SUITE 401, HATTIESBURG, MS 39402-1319
(601) 296-2100
Mailing address
5003 HARDY ST, SUITE 401, HATTIESBURG, MS 39402-1319
(601) 296-2100
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
11/01/2011
Last updated
11/01/2011
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