# GULF COAST INTERNAL MEDICINE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164450359
- **Authorized official:** MRS. VALERIE REED LENOX MD (PHYSICIAN)
- **Authorized official phone:** (228) 388-0062

## Contact information

- **Practice address:** 1721 MEDICAL PARK DR, STE 101, BILOXI, MS 39532
- **Practice address phone:** (228) 388-0062
- **Practice address fax:** (228) 388-1701
- **Mailing address:** 1721 MEDICAL PARK DR, STE 101, BILOXI, MS 39532
- **Mailing address phone:** (228) 388-0062
- **Mailing address fax:** (228) 388-1701

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/28/2006
- **Last updated:** 08/22/2020