Organization
A R MIZELL LLC
Active
Other names
Southern Family Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA R MIZELL FNP-BC (OWNER)
(251) 510-8175
Entity
Organization
Contact information
Practice address
1212 E PASS RD, GULFPORT, MS 39507-3403
(228) 896-7108
(228) 896-7174
Mailing address
PO BOX 787, GRAND BAY, AL 36541-0787
(228) 896-7108
(228) 896-7174
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/15/2012
Last updated
02/14/2023
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