Organization
SOUTH MISSISSIPPI HEART AND VASCULAR INSTITUTE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMED I AWAAD M.D. (SOLE OWNER)
(228) 343-4057
Entity
Organization
Contact information
Practice address
1104 BROAD AVE, GULFPORT, MS 39501-2414
(228) 343-4057
Mailing address
PO BOX 399, LONG BEACH, MS 39560-0399
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
18345
MS
Other
Enumeration date
06/25/2006
Last updated
10/02/2012
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