# MEDICAL FOUNDATION OF SOUTH MS

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

## Provider details

- **NPI number:** 1720014202
- **Authorized official:** MR. RANDY ROBINSON (ADMINISTRATOR)
- **Authorized official phone:** (228) 865-1453

## Contact information

- **Practice address:** 2771 PASS RD, BILOXI, MS 39531-2600
- **Practice address phone:** (228) 385-4645
- **Practice address fax:** (228) 385-4695
- **Mailing address:** 1612 31ST AVE, GULFPORT, MS 39501-2750
- **Mailing address phone:** (228) 865-1453
- **Mailing address fax:** (228) 865-1451

## Taxonomy

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

## Other

- **Enumeration date:** 06/25/2006
- **Last updated:** 08/22/2020