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Organization

SINGING RIVER GULFPORT

Active
Other names
Singing River Gulfport ER Group
Organization subpart
No

Provider details

NPI number
Authorized official
JANET WILLIAMS (CREDENTIALING SPECIALIST)
(228) 497-7576
Entity
Organization

Contact information

Practice address
15200 COMMUNITY RD, GULFPORT, MS 39503-3085
(228) 575-7120
(228) 575-7103
Mailing address
2101 HIGHWAY 90, GAUTIER, MS 39553-5340
(228) 497-7576
(228) 497-8869

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Enumeration date
09/08/2022
Last updated
09/08/2022
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