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Organization
360 MEDICAL GROUP MISSISSIPPI PC
Active
Organization
360 MEDICAL GROUP MISSISSIPPI PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES VILLAR (ADMINISTRATOR)
(833) 360-6388
Entity
Organization
Contact information
Practice address
1302 MAGNOLIA ST UNIT 1-A5, GULFPORT, MS 39507-4106
(833) 360-6388
Mailing address
270 TRACE COLONY PARK DR STE B, RIDGELAND, MS 39157-8810
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/15/2026
Last updated
09/15/2026
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