Organization
MIRACLE BIRTH OB-GYN, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER GRACE EDWARDS MD (PRESIDENT)
(228) 897-8971
Entity
Organization
Contact information
Practice address
428 COURTHOUSE RD, STE C, GULFPORT, MS 39507-1867
(228) 897-8971
(228) 897-8975
Mailing address
PO BOX 6766, GULFPORT, MS 39506-6766
(228) 897-8971
(228) 897-8975
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
06/19/2006
Last updated
08/22/2020
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