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Organization

MEMORIAL HOSPITAL AT GULFPORT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PEGGY LORRAINE NOONAN BS, CPC (PHYSICIAN BUSINESS SERVICES DIR.)
(228) 575-1740
Entity
Organization

Contact information

Practice address
4300 LEISURE TIME DR, SUITE A, DIAMONDHEAD, MS 39525-3241
(228) 255-4300
(228) 255-3626
Mailing address
PO BOX 1810, GULFPORT, MS 39502-1810
(228) 575-1700
(228) 575-1735

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207RG0100X
Gastroenterology Physician
207RN0300X
Nephrology Physician
207T00000X
Neurological Surgery Physician
207X00000X
Orthopaedic Surgery Physician
363L00000X
Nurse Practitioner

Other

Enumeration date
09/30/2013
Last updated
01/09/2024
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