# MMEMORIAL HOSPITAL AT GULFPORT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PHYSICANS CLINIC AT MHG
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932410594
- **Authorized official:** MR. JEFF T STEINER (VP FINANCE)
- **Authorized official phone:** (228) 865-3106

## Contact information

- **Practice address:** 4300 LEISURE TIME DR, SUITE A, DIAMONDHEAD, MS 39525-3241
- **Practice address phone:** (228) 255-4300
- **Practice address fax:** (228) 255-3626
- **Mailing address:** PO BOX 555, BILOXI, MS 39533-0555
- **Mailing address phone:** (228) 864-8454
- **Mailing address fax:** (228) 865-1457

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/29/2010
- **Last updated:** 02/07/2013