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Organization
MEDICAL FOUNDATION OF SOUTH MS
Active
Organization
MEDICAL FOUNDATION OF SOUTH MS
Active
Other names
Pass Road Walk In Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY ROBINSON (ADMINISTRATOR)
(228) 864-8454
Entity
Organization
Contact information
Practice address
2771 PASS RD, BILOXI, MS 39531-2600
(228) 385-4645
(228) 385-4695
Mailing address
1612 31ST AVE, GULFPORT, MS 39501-2750
(228) 864-8454
(228) 865-1457
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/26/2006
Last updated
08/22/2020
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