# MEMORIAL HOSPITAL AT GULFPORT

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

## Provider details

- **NPI number:** 1740617232
- **Authorized official:** PEGGY LORRAINE NOONAN BS, CPC (PHYSICIAN BUSINESS SERVICES DIR.)
- **Authorized official phone:** (228) 575-1740

## Contact information

- **Practice address:** 1340 BROAD AVE STE 310, GULFPORT, MS 39501-2464
- **Practice address phone:** (228) 575-1400
- **Practice address fax:** (228) 575-1414
- **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 |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 207RI0200X | Infectious Disease Physician | — | NULL | — |
| 207RI0200X | Infectious Disease Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

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