Landmark Medical Of Mississippi Pc | |
14116 Customs Blvd Gulfport MS 39503-5164 | |
(657) 400-5180 | |
Not Available |
Full Name | Landmark Medical Of Mississippi Pc |
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Speciality | General Practice |
Location | 14116 Customs Blvd, Gulfport, Mississippi |
Authorized Official Name and Position | Christopher Dennis (CHIEF MEDICAL OFFICER) |
Authorized Official Contact | 6574005180 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Landmark Medical Of Mississippi Pc 7755 Center Ave Ste 630 Huntington Beach CA 92647-9152 Ph: (657) 400-5180 | Landmark Medical Of Mississippi Pc 14116 Customs Blvd Gulfport MS 39503-5164 Ph: (657) 400-5180 |
NPI Number | 1053818245 |
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Provider Enumeration Date | 04/12/2018 |
Last Update Date | 01/30/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053818245 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
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