Organization
OBTELECARE MISSISSIPPI, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE BURNS (DIRECTOR)
(864) 908-3530
Entity
Organization
Contact information
Practice address
4500 13TH ST, GULFPORT, MS 39501-2515
(864) 908-3530
Mailing address
777 LOWNDES HILL RD BLDG 1, GREENVILLE, SC 29607-2101
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
—
Other
Enumeration date
09/17/2025
Last updated
12/29/2025
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