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Contact Information

PREMIER PODIATRY LLC
5434 RIVER THAMES RD
JACKSON, MS39211-4133
 Phone: 662-473-6476
 Fax: 662-335-5872
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for PREMIER PODIATRY LLC

NPI # 1851913842
LBN Legal business name PREMIER PODIATRY LLC
Authorized official CAREY WILLIAMS - (PODIATRIST)
Entity Organization
Organization subpart 1 No
Enumeration date 05/12/2020
Last updated 05/12/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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