Organization
ARCHON MED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN NUNENMACHER MD (OWNER)
(228) 233-4404
Entity
Organization
Contact information
Practice address
5090 GAUTIER VANCLEAVE RD, GAUTIER, MS 39553-4803
(228) 522-6700
Mailing address
3500 N 4TH ST, OCEAN SPRINGS, MS 39564-8534
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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