Organization
GULF COAST INTERNAL MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VALERIE REED LENOX MD (PHYSICIAN)
(228) 388-0062
Entity
Organization
Contact information
Practice address
1721 MEDICAL PARK DR, STE 101, BILOXI, MS 39532
(228) 388-0062
(228) 388-1701
Mailing address
1721 MEDICAL PARK DR, STE 101, BILOXI, MS 39532
(228) 388-0062
(228) 388-1701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015465
—
MS
01
—
13331
LICENSE VALERIE LENOX
MS
01
—
16183
LICENSE MARILYN MORA
MS
01
—
17319
LICENSE RACHEL TADLOCK
MS
01
—
R784087
LICENSE LEIGH DRACE
MS
Enumeration date
06/28/2006
Last updated
08/22/2020
Update your record
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