Individual
DR. PHILIP LINCOLN LEVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4500 13TH ST, GULFPORT, MS 39501-2515
(228) 575-2000
(228) 865-3098
Mailing address
4500 13TH ST, GULFPORT, MS 39501-2515
(228) 575-2000
(228) 865-3098
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
18082
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06252395
—
MS
Enumeration date
10/24/2006
Last updated
07/08/2007
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