| Joseph L. Faison, M.d. | |
|
1924 30th Ave Gulfport MS 39501-4534 | |
| (228) 832-2004 | |
| (228) 832-4093 |
| Full Name | Joseph L. Faison, M.d. |
|---|---|
| Speciality | Family Medicine |
| Location | 1924 30th Ave, Gulfport, Mississippi |
| Authorized Official Name and Position | Robert Lagesse (VP) |
| Authorized Official Contact | 8666530021 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph L. Faison, M.d. 1924 30th Ave Gulfport MS 39501-4534 Ph: (228) 832-2004 | Joseph L. Faison, M.d. 1924 30th Ave Gulfport MS 39501-4534 Ph: (228) 832-2004 |
| NPI Number | 1881882405 |
|---|---|
| Provider Enumeration Date | 10/09/2007 |
| Last Update Date | 10/10/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881882405 | NPI | - | NPPES |
| J5628 | Other | MS | RR MEDICARE |
| 09016021 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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