| Internal Medicine Of Long Beach Pllc | |
|
2 Tower Plz Pineville Road Suite E Long Beach MS 39560-3900 | |
| (228) 575-4374 | |
| (228) 575-4303 |
| Full Name | Internal Medicine Of Long Beach Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2 Tower Plz, Long Beach, Mississippi |
| Authorized Official Name and Position | Harris B Evans (OWNER) |
| Authorized Official Contact | 2285754374 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Of Long Beach Pllc 2 Tower Plz Pineville Road Suite E Long Beach MS 39560-3900 Ph: (228) 575-4374 | Internal Medicine Of Long Beach Pllc 2 Tower Plz Pineville Road Suite E Long Beach MS 39560-3900 Ph: (228) 575-4374 |
| NPI Number | 1073678520 |
|---|---|
| Provider Enumeration Date | 12/26/2006 |
| Last Update Date | 02/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073678520 | NPI | - | NPPES |
| 08603563 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 15183 (Mississippi) | Primary |
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