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Organization
MEDICAL FOUNDATION OF SOUTH MS
Active
Organization
MEDICAL FOUNDATION OF SOUTH MS
Active
Other names
Beatline Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY ROBINSON (ADMINISTRATOR)
(228) 865-1453
Entity
Organization
Contact information
Practice address
5120 BEATLINE RD, SUITE A, LONG BEACH, MS 39560-3815
(228) 868-4287
(228) 868-4293
Mailing address
2500 14TH ST FL 4, P.O. BOX 98, GULFPORT, MS 39501-1962
(228) 865-1453
(228) 865-1451
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/22/2006
Last updated
04/02/2008
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