Organization
SARAH MITCHELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARIN FORD NP (ASSOCIATE MEDICAL DIRECTOR)
(228) 860-8414
Entity
Organization
Contact information
Practice address
1025 DIVISION STREET, SUITE C, BILOXI, MS 39530-2410
(228) 388-2599
(228) 388-4157
Mailing address
16354 YAUPON BERRY DR, BILOXI, MS 39532-7661
(228) 219-5814
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
901480
MS
Other
Enumeration date
12/28/2015
Last updated
03/23/2016
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