Organization
MMEMORIAL HOSPITAL AT GULFPORT
Active
Other names
PHYSICANS CLINIC AT MHG
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF T STEINER (VP FINANCE)
(228) 865-3106
Entity
Organization
Contact information
Practice address
4300 LEISURE TIME DR, SUITE A, DIAMONDHEAD, MS 39525-3241
(228) 255-4300
(228) 255-3626
Mailing address
PO BOX 555, BILOXI, MS 39533-0555
(228) 864-8454
(228) 865-1457
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015329
—
MS
Enumeration date
06/29/2010
Last updated
02/07/2013
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