Gulf Medical, Llc | |
15012 Lemoyne Blvd Biloxi MS 39532-5205 | |
(228) 374-1894 | |
(228) 374-9675 |
Full Name | Gulf Medical, Llc |
---|---|
Speciality | Internal Medicine |
Location | 15012 Lemoyne Blvd, Biloxi, Mississippi |
Authorized Official Name and Position | Daniel D Shepherd (CLINIC MANAGER) |
Authorized Official Contact | 2283741894 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gulf Medical, Llc 15012 Lemoyne Blvd Biloxi MS 39532-5205 Ph: (228) 374-1894 | Gulf Medical, Llc 15012 Lemoyne Blvd Biloxi MS 39532-5205 Ph: (228) 374-1894 |
NPI Number | 1720123003 |
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Provider Enumeration Date | 02/21/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720123003 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 17226 (Mississippi) | Primary |
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