| Physicians Clinic At Mhg | |
|
1340 Broad Ave Suite 310 Gulfport MS 39501-2404 | |
| (228) 575-1400 | |
| (228) 575-1414 |
| Full Name | Physicians Clinic At Mhg |
|---|---|
| Speciality | Internal Medicine |
| Location | 1340 Broad Ave, Gulfport, Mississippi |
| Authorized Official Name and Position | Jeff T Steiner (VP OF FINANCE) |
| Authorized Official Contact | 2288653106 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Physicians Clinic At Mhg Po Box 555 Biloxi MS 39533-0555 Ph: (228) 864-0854 | Physicians Clinic At Mhg 1340 Broad Ave Suite 310 Gulfport MS 39501-2404 Ph: (228) 575-1400 |
| NPI Number | 1982936621 |
|---|---|
| Provider Enumeration Date | 02/05/2010 |
| Last Update Date | 01/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982936621 | NPI | - | NPPES |
| 05900013 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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