Mrs Meddol Regina Mccray, NP | |
2070 30th St, Gulfport, MS 39501-6055 | |
(228) 369-8956 | |
Not Available |
Full Name | Mrs Meddol Regina Mccray |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 2070 30th St, Gulfport, Mississippi |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871132076 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 903654 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Hospital At Gulfport | Gulfport, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Coastal Family Health Center, Inc | 8628989654 | 39 |
Entity Name | Coastal Family Health Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629066782 PECOS PAC ID: 8628989654 Enrollment ID: O20040108000698 |
Mailing Address | Practice Location Address |
---|---|
Mrs Meddol Regina Mccray, NP 2070 30th St Apt A, Gulfport, MS 39501-6056 Ph: (228) 369-8956 | Mrs Meddol Regina Mccray, NP 2070 30th St, Gulfport, MS 39501-6055 Ph: (228) 369-8956 |
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