| Beatline Internal Medicine | |
|
5120 Beatline Rd Suite A Long Beach MS 39560-3815 | |
| (228) 868-4287 | |
| (228) 868-4293 |
| Full Name | Beatline Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 5120 Beatline Rd, Long Beach, Mississippi |
| Authorized Official Name and Position | Randy Robinson (ADMINISTRATOR) |
| Authorized Official Contact | 2288651453 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beatline Internal Medicine 2500 14th St Fl 4 P.o. Box 98 Gulfport MS 39501-1962 Ph: (228) 865-1453 | Beatline Internal Medicine 5120 Beatline Rd Suite A Long Beach MS 39560-3815 Ph: (228) 868-4287 |
| NPI Number | 1891731287 |
|---|---|
| Provider Enumeration Date | 06/22/2006 |
| Last Update Date | 04/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891731287 | NPI | - | NPPES |
| 09014380 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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