| Phillip D Compton Ii | |
|
412 Security Sq Gulfport MS 39507-1952 | |
| (228) 896-6640 | |
| (228) 896-6641 |
| Full Name | Phillip D Compton Ii |
|---|---|
| Speciality | Internal Medicine |
| Location | 412 Security Sq, Gulfport, Mississippi |
| Authorized Official Name and Position | Jamie R Dobson (OFFICE MANAGER) |
| Authorized Official Contact | 2288966640 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phillip D Compton Ii Po Box 674 Ocean Springs MS 39566-0674 Ph: (228) 896-6640 | Phillip D Compton Ii 412 Security Sq Gulfport MS 39507-1952 Ph: (228) 896-6640 |
| NPI Number | 1447431598 |
|---|---|
| Provider Enumeration Date | 11/16/2007 |
| Last Update Date | 03/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447431598 | NPI | - | NPPES |
| 00121014 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 16438 (Mississippi) | Primary |
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