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Organization
GULF COAST INTERNAL MEDICINE PLLC
Active
Organization
GULF COAST INTERNAL MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VALERIE REED LENOX MD (PHYSICIAN)
(228) 388-0062
Entity
Organization
Contact information
Practice address
1721 MEDICAL PARK DR, STE 101, BILOXI, MS 39532
(228) 388-0062
(228) 388-1701
Mailing address
1721 MEDICAL PARK DR, STE 101, BILOXI, MS 39532
(228) 388-0062
(228) 388-1701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015465
—
MS
01
—
13331
LICENSE VALERIE LENOX
MS
01
—
16183
LICENSE MARILYN MORA
MS
01
—
17319
LICENSE RACHEL TADLOCK
MS
01
—
R784087
LICENSE LEIGH DRACE
MS
Enumeration date
06/28/2006
Last updated
08/22/2020
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