Organization
MEMORIAL HOSPITAL AT GULFPORT
Active
Other names
PHYSICIANS CLINIC AT MHG
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF T STEINER (VP OF FINANCE)
(228) 865-3106
Entity
Organization
Contact information
Practice address
5120 BEATLINE RD, SUITE B, LONG BEACH, MS 39560-3815
(228) 868-4294
(228) 868-4293
Mailing address
PO BOX 555, BILOXI, MS 39533-0555
(228) 864-8454
(228) 865-1457
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09083390
—
MS
Enumeration date
02/05/2010
Last updated
01/03/2011
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