# KEESLER MEDICAL CENTER 81ST MEDICAL GROUP

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

## Provider details

- **NPI number:** 1225091192
- **Authorized official:** SHERRI LYNETTE SAUNDERS-GOLDSON (WOMEN'S HEALTH NURSE PRACTITIONER)
- **Authorized official phone:** (228) 377-6989

## Contact information

- **Practice address:** 301 FISHER ST, STE 109, KEESLER AFB, MS 39534-2508
- **Practice address phone:** (228) 377-6920
- **Mailing address:** 2620 LEJUENE DR, APT 10204, BILOXI, MS 39531-3740

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WW0101X | Ambulatory Women's Health Care Registered Nurse | 0001107341 | VA | Yes |

## Other

- **Enumeration date:** 04/10/2006
- **Last updated:** 08/22/2020