Graduated: 2002
NPI: 1497718399
Practice Locations (2)
PREMIER MEDICAL GROUP OF MISSISSIPPI LLC
332 HWY 12 W
KOSCIUSKO, MS 390903209
6622891800
PREMIER MEDICAL GROUP OF MISSISSIPPI LLC
340 HWY 12 W
KOSCIUSKO, MS 390903209
6622893588
Source: CMS National Downloadable File, September 2026.