Organization
SINGING RIVER HOSPITAL SYSTEM
Active
Other names
Gautier Internal Medicine Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS ANDERSON (CHIEF EXECUTIVE OFFICER)
(228) 497-7908
Entity
Organization
Contact information
Practice address
2105 OLD SPANISH TRL, GAUTIER, MS 39553-6000
(228) 497-7980
Mailing address
2101 HIGHWAY 90, GAUTIER, MS 39553-5340
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/22/2007
Last updated
06/18/2008
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