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Organization

MEMORIAL HOSPITAL AT GULFPORT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL ZIEMAN (ADMINISTRATOR)
(228) 575-1907
Entity
Organization

Contact information

Practice address
11150 HIGHWAY 49N, GULFPORT, MS 39503
(228) 575-1000
(228) 575-2002
Mailing address
11150 HIGHWAY 49N, GULFPORT, MS 39503
(228) 575-1000
(228) 575-2002

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09015293
MS
Enumeration date
07/26/2006
Last updated
05/05/2015
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