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) 818-0563
Entity
Organization
Contact information
Practice address
835 THAMES AVE, SUITE A, BAY ST LOUIS, MS 39520-5005
(228) 463-0824
(228) 463-0827
Mailing address
PO BOX 555, BILOXI, MS 39533-0555
(228) 575-1730
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02234203
—
MS
Enumeration date
07/14/2012
Last updated
12/17/2013
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