# MEMORIAL HOSPITAL AT GULFPORT

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

## Provider details

- **NPI number:** 1609203173
- **Authorized official:** PEGGY LORRAINE NOONAN BS, CPC (PHYSICIAN BUSINESS SERVICES DIR.)
- **Authorized official phone:** (228) 575-1740

## Contact information

- **Practice address:** 1756 POPPS FERRY RD STE A, BILOXI, MS 39532-2118
- **Practice address phone:** (228) 388-3820
- **Practice address fax:** (228) 388-3382
- **Mailing address:** PO BOX 1810, GULFPORT, MS 39502-1810
- **Mailing address phone:** (228) 575-1700
- **Mailing address fax:** (228) 575-1735

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |

## Other

- **Enumeration date:** 09/30/2013
- **Last updated:** 01/09/2024