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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 FINANCE (VP FINANCE)
(228) 865-3106
Entity
Organization

Contact information

Practice address
4300 W RAILROAD ST, SUITE B, GULFPORT, MS 39501-2568
(228) 864-0854
(228) 865-1457
Mailing address
PO BOX 555, BILOXI, MS 39533-0555
(228) 864-0854
(228) 865-7457

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09014571
MS
Enumeration date
08/05/2010
Last updated
01/03/2011
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