NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1053483735 |   |   |   | PREMIER MEDICAL MANAGEMENT OF MISSISSIPPI, INC | 864 WILSON DR | RIDGELAND | MS | 391574512 |
1790827038 |   |   |   | PREMIER MEDICAL GROUP OF MISSISSIPPI LLC | PO BOX 23996 | JACKSON | MS | 392253996 |
1871805820 | AGENT | KIMBERLY | COGHLAN |   | 864 WILSON DR | RIDGELAND | MS | 391574512 |
1700016763 | ALLA | SRIDEVI |   |   | 864 WILSON DR | RIDGELAND | MS | 391574512 |
1417309147 | ATKINSON | AMBER | K |   | PO BOX 23996 | JACKSON | MS | 392253996 |
1609178094 | BLAYLOCK | KRISTA | BAIN |   | 864 WILSON DR | RIDGELAND | MS | 391574512 |
1073585824 | BROWNING | ROBERT | GREGORY |   | 864 WILSON DR | RIDGELAND | MS | 391574512 |
1154478410 | BRYANT | EDWARD | E |   | 864 WILSON DR | RIDGELAND | MS | 391574512 |
1265495154 | COCKROFT | DEIDRA | K |   | PO BOX 23996 | JACKSON | MS | 392253996 |
1477753929 | COCKROFT | LINDA | B |   | PO BOX 23996 | JACKSON | MS | 392253996 |
1881658359 | COCKROFT | RAY | SCOTT |   | PO BOX 23996 | JACKSON | MS | 39225 |
1437221876 | FOSS | JOHN | DUDLEY |   | PO BOX 23996 | JACKSON | MS | 392253996 |
1942372396 | FULCHER | LUTHER | H |   | PO BOX 23996 | JACKSON | MS | 392253996 |
1497718399 | FULGHAM | DOROTHY | MICHELE |   | PO BOX 23996 | JACKSON | MS | 392253996 |
1639396393 | HAMMACK | STEPHEN | C |   | PO BOX 23996 | JACKSON | MS | 39225 |
1184701344 | HEINTZELMAN | KEVIN | A |   | PO BOX 23996 | JACKSON | MS | 39225 |
1942595202 | HOLDINESS | SAMUEL | JOSEPH |   | PO BOX 23996 | JACKSON | MS | 392253996 |
1477625614 | LAMBUTH | BRUCE | W |   | PO BOX 23996 | JACKSON | MS | 392253996 |
1528221009 | MCLEAN | VICKY | C |   | PO BOX 23996 | JACKSON | MS | 392253996 |
1497718449 | MCNEAL | TINA | D |   | PO BOX 23996 | JACKSON | MS | 39225 |
1588634760 | PEOPLES | JAMES | T |   | PO BOX 23996 | JACKSON | MS | 39225 |
1316242829 | PETTIT | WHITNEY | MOORE |   | PO BOX 23996 | JACKSON | MS | 392253996 |
1497827687 | PIEKLIK | JOHN | R |   | PO BOX 23996 | JACKSON | MS | 392253996 |
1437312915 | PORTIS | RAYMOND | L. |   | 971 LAKELAND DR | JACKSON | MS | 392164609 |
1144736885 | PUTT | SARAH |   |   | PO BOX 23996 | JACKSON | MS | 392253996 |
1437194651 | RAJU | WHITNEY | S |   | PO BOX 23996 | JACKSON | MS | 392253996 |
1245302330 | READ | DALE | G |   | PO BOX 23996 | JACKSON | MS | 392253996 |
1962645770 | RICHARDSON | BRECK | T |   | PO BOX 23996 | JACKSON | MS | 39225 |
1114956620 | SIMS | CHRISTI | W |   | PO BOX 23996 | JACKSON | MS | 392253996 |
1255394169 | STEEN | TANYA | L |   | PO BOX 23996 | JACKSON | MS | 39225 |
1114173796 | STRONG | MARY | CARTER |   | PO BOX 23996 | JACKSON | MS | 392253996 |
1588627541 | TURNER | BETTY | H. |   | PO BOX 23996 | JACKSON | MS | 39225 |
1831486596 | WALLACE | JOHN | GRAY |   | PO BOX 23996 | JACKSON | MS | 392253996 |
1669635926 | WATKINS | RANDI | APRIL |   | PO BOX 23996 | JACKSON | MS | 392253996 |