Organization
INTERNAL MEDICINE OF LONG BEACH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARRIS B EVANS M.D. (OWNER)
(228) 575-4374
Entity
Organization
Contact information
Practice address
2 TOWER PLZ, PINEVILLE ROAD SUITE E, LONG BEACH, MS 39560-3900
(228) 575-4374
(228) 575-4303
Mailing address
2 TOWER PLZ, PINEVILLE ROAD SUITE E, LONG BEACH, MS 39560-3900
(228) 575-4374
(228) 575-4303
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15183
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08603563
—
MS
Enumeration date
12/26/2006
Last updated
02/07/2008
Update your record
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