| Coastline Medical Center, Pllc | |
|
10536 Auto Mall Pkwy Suite A Diberville MS 39540-3742 | |
| (228) 396-0333 | |
| (228) 396-4060 |
| Full Name | Coastline Medical Center, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10536 Auto Mall Pkwy, Diberville, Mississippi |
| Authorized Official Name and Position | Nguyen Phong Huynh (PHYSICIAN) |
| Authorized Official Contact | 2283960333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastline Medical Center, Pllc 10536 Auto Mall Pkwy A Diberville MS 39540-3742 Ph: (228) 396-0333 | Coastline Medical Center, Pllc 10536 Auto Mall Pkwy Suite A Diberville MS 39540-3742 Ph: (228) 396-0333 |
| NPI Number | 1952525859 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 01/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952525859 | NPI | - | NPPES |
| 1457462954 | Other | MS | NPI FOR DR. HUYNH |
| 1982618310 | Other | MS | NPI FOR DR. LE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 19050 (Mississippi) | Secondary |
| 207R00000X | Internal Medicine | 19541 (Mississippi) | Primary |
Care Plus Promenade Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3920 Promenade Pkwy, Suite A, Diberville, MS 39540 Phone: 228-456-0173 Fax: 228-456-0174 | |
D'iberville Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10319 Diberville Blvd, Diberville, MS 39540 Phone: 228-396-2999 | |
Lakeview Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3680 Sangani Blvd, Diberville, MS 39540 Phone: 228-354-9300 Fax: 228-354-9301 | |
Resolute Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4347 W Gay Rd, Diberville, MS 39540 Phone: 228-229-7989 | |
Care Plus Promenade Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3920 Promenade Pkwy, Suite A, Diberville, MS 39540 Phone: 228-456-0173 Fax: 228-456-0174 | |
Coastal Famil Health Center, D'iberville Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3446 Popps Ferry Rd, Diberville, MS 39540 Phone: 228-374-2494 | |
D'iberville Medical Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11516 Lamey Bridge Rd, Ste 1, Diberville, MS 39540 Phone: 228-207-4190 Fax: 228-207-4190 |