Organization
KEYSTONE MEDICAL SERVICES OF GULFPORT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLENN C ADAMS (PRESIDENT)
(901) 795-3500
Entity
Organization
Contact information
Practice address
15200 COMMUNITY RD, GULFPORT, MS 39503-3085
(228) 575-7000
Mailing address
6075 POPLAR AVENUE, SUITE 401, MEMPHIS, TN 38119
(901) 795-3600
(901) 795-6060
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
08/10/2015
Last updated
01/22/2021
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