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Organization
OCEANS MISSISSIPPI MEDICAL GROUP LLC
Active
Organization
OCEANS MISSISSIPPI MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA F. TARANTINO (EVP, GENERAL COUNSEL)
(972) 464-0022
Entity
Organization
Contact information
Practice address
152 GATEWAY DR, BILOXI, MS 39531-4409
(337) 210-4477
Mailing address
3905 HEDGCOXE RD UNIT 250249, PLANO, TX 75025-0840
(972) 464-0022
(972) 464-0021
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
—
NULL
2084P0805X
Geriatric Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/03/2018
Last updated
06/01/2023
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