Individual
PHILIP BATSON MELLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 BEACH DR, GULFPORT, MS 39507-1553
(228) 897-4514
(228) 897-4481
Mailing address
1800 BEACH DR, GULFPORT, MS 39507-1553
(228) 897-4514
Taxonomy
Speciality
Code
Description
License number
State
207RH0005X
Hypertension Specialist Physician
Primary
19823
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07384751
—
MS
01
—
7214746
AETNA
MS
Enumeration date
07/18/2006
Last updated
09/06/2024
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