Organization
HEALTHSTOP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILY C KAKISH CCRC, MBA (PRESIDENT)
(251) 455-4192
Entity
Organization
Contact information
Practice address
2490 PASS RD, BILOXI, MS 39531-2838
(228) 207-9967
(228) 273-1532
Mailing address
2490 PASS RD, BILOXI, MS 39531-2838
(228) 207-9967
(228) 273-1532
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/19/2016
Last updated
04/21/2016
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