Medical Foundation Of South Ms
Pediatrics in Bay St Louis, MS. Organization (NPI-2).
NPI number1477599280
StatusActive
Last updated in NPPESMay 23, 2008
Details
- NPI
- 1477599280
- Entity type
- Organization (NPI-2)
- Legal business name
- Medical Foundation Of South Ms
- Organization subpart
- No
- Enumeration date
- Jun 21, 2006
- Last updated
- May 23, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | – | – | Yes |
| 207Q00000X | Family Medicine | – | – |
Other names
- Bay Plaza Medical Clinic (Doing Business As)
Practice location
618 Blue Meadow RdSuite 20
Bay St Louis, MS 39520-2834
Phone 228-463-0824 · Fax 228-463-0827
Mailing address
1612 31st AveGulfport, MS 39501-2750
Phone 228-865-1453 · Fax 228-865-1451
Authorized official
Randy Robinson
Administrator
2288651453
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Other Pediatrics Physician providers in Bay St Louis, MS
- Bay St. Louis PediatricsNPI 1952405201
- Brandi Coleman, M.D.NPI 1942241922
- Memorial Hospital At GulfportNPI 1902138639
- Denise Elaine Powell, MDNPI 1982163960
- Shama Shakir, MDNPI 1396712915
All 6 Pediatrics Physician providers in Bay St Louis · All 183 providers in Bay St Louis
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