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Memorial Hospital At Gulfport

Pediatrics in Gulfport, MS. Organization (NPI-2).

NPI number1376874792
StatusActive
Last updated in NPPESJan 3, 2011

Details

NPI
1376874792
Entity type
Organization (NPI-2)
Legal business name
Memorial Hospital At Gulfport
Organization subpart
No
Enumeration date
Jan 25, 2010
Last updated
Jan 3, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics––Yes

Other names

  • Physicians Clinic At Mhg (Doing Business As)

Practice location

1285 Spring St
Suite A
Gulfport, MS 39507-3423

Phone 228-896-6441 · Fax 228-896-6576

Mailing address

Po Box 555
Biloxi, MS 39533-0555

Phone 228-864-0854 · Fax 228-865-1457

Authorized official

Jeff T Steiner
Vp Of Finance
2288653106

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