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
9454 THREE RIVERS RD, SUITE A, GULFPORT, MS 39503-4294
(228) 864-7747
(228) 864-7415
Mailing address
PO BOX 555, BILOXI, MS 39533-0555
(228) 864-0854
(228) 865-1457
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07639891
—
MS
01
—
1588996425
BCBS
MS
Enumeration date
02/03/2010
Last updated
03/22/2011
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