Organization
BILOXI INTERNAL MEDICINE CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARION JEAN WAINWRIGHT MD (PRESIDENT)
(228) 374-2051
Entity
Organization
Contact information
Practice address
147 REYNOIR STREET, SUITE 204, BILOXI, MS 39530
(228) 374-2051
(228) 374-5741
Mailing address
147 REYNOIR STREET, SUITE 204, BILOXI, MS 39530
(228) 374-2051
(228) 374-5741
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09012028
—
MS
Enumeration date
04/03/2006
Last updated
05/02/2008
Update your record
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