Organization
SW MEDIACAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH METALF (PRESIDENT)
(228) 594-8380
Entity
Organization
Contact information
Practice address
2561 PASS RD, SUITE D, BILOXI, MS 39531-2125
(228) 594-8380
(228) 594-8393
Mailing address
2561 PASS RD, SUITE D, BILOXI, MS 39531-2125
(228) 594-8380
(228) 594-8393
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
097339
MS
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
MS
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
23941
MS
363LF0000X
Family Nurse Practitioner
R791344
MS
Other
Enumeration date
08/05/2015
Last updated
08/06/2015
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