Individual
DR. MELISSA MOON MUIRHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4500 13TH ST, GULFPORT, MS 39501-2569
(228) 867-4396
(228) 867-5354
Mailing address
2500 N STATE ST, DEPARTMENT OF MEDICINE, JACKSON, MS 39216-4500
(601) 984-5604
(601) 984-6665
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
23762
MS
208M00000X
Hospitalist Physician
Primary
23762
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08109847
—
MS
Enumeration date
06/29/2012
Last updated
08/10/2023
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