| Physicians Clinic At Mhg | |
|
1340 Broad Ave Ste 440 N Gulfport MS 39501-2404 | |
| (228) 867-5087 | |
| (228) 867-4870 |
| Full Name | Physicians Clinic At Mhg |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1340 Broad Ave, Gulfport, Mississippi |
| Authorized Official Name and Position | Jeff T Steiner (VP OF FINANCE) |
| Authorized Official Contact | 2288653106 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Physicians Clinic At Mhg Po Box 555 Biloxi MS 39533-0555 Ph: (228) 864-0854 | Physicians Clinic At Mhg 1340 Broad Ave Ste 440 N Gulfport MS 39501-2404 Ph: (228) 867-5087 |
| NPI Number | 1952633695 |
|---|---|
| Provider Enumeration Date | 02/05/2010 |
| Last Update Date | 04/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952633695 | NPI | - | NPPES |
| 08179577 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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