Individual
DR. JAY J LIBYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14055 SEAWAY ROAD, GULFPORT, MS 39503
(228) 868-5555
(228) 574-2001
Mailing address
14055 SEAWAY ROAD, GULFPORT, MS 39503
(228) 868-5555
(228) 574-2001
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
14619
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115535
—
MS
Enumeration date
08/30/2006
Last updated
07/21/2022
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