Organization
MEMORIAL HOSPITAL AT GULFPORT
Active
Other names
Physicians Clinic at MHG
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF T STEINER (VP OF FINANCE)
(228) 865-3106
Entity
Organization
Contact information
Practice address
12261 HIGHWAY 49, GULFPORT, MS 39503-2975
(228) 867-5185
(228) 867-5279
Mailing address
PO BOX 555, BILOXI, MS 39533-0555
(228) 867-5185
(228) 867-5279
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08132713
—
MS
01
—
302G700865
MEDICARE PTAN
MS
Enumeration date
08/01/2008
Last updated
09/26/2011
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