Individual
MRS. MEMORIE LIANE GAUGHF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
970 TOMMY MUNRO DR STE B, BILOXI, MS 39532-2176
(228) 388-4585
Mailing address
970 TOMMY MUNRO DR STE B, BILOXI, MS 39532-2176
(228) 388-4585
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
904469
MS
Other
Enumeration date
07/01/2021
Last updated
07/13/2021
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