Individual
MIMI CUMBEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
15190 COMMUNITY RD, SUITE 230A, GULFPORT, MS 39503-3485
(228) 831-0204
(228) 831-1868
Mailing address
15190 COMMUNITY RD, SUITE 230A, GULFPORT, MS 39503-3485
(228) 831-0204
(228) 831-1868
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
13974
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00121635
—
MS
01
—
640727870
TAX ID
MS
Enumeration date
08/21/2006
Last updated
07/08/2007
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