# MEMORIAL HOSPITAL AT GULFPORT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Physicians Clinic at MHG
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275785560
- **Authorized official:** MR. JEFF T STEINER (VP FINANCE)
- **Authorized official phone:** (228) 865-3106

## Contact information

- **Practice address:** 4333 15TH ST, SUITE A, GULFPORT, MS 39501-2525
- **Practice address phone:** (228) 863-4000
- **Mailing address:** PO BOX 555, BILOXI, MS 39533-0555
- **Mailing address phone:** (228) 865-1453
- **Mailing address fax:** (228) 865-1457

## Taxonomy

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

## Other

- **Enumeration date:** 10/17/2008
- **Last updated:** 01/03/2011