| Singing River Gulfport Inpatient Physician Services | |
|
15200 Community Rd Gulfport MS 39503-3085 | |
| (228) 575-7112 | |
| (228) 575-7190 |
| Full Name | Singing River Gulfport Inpatient Physician Services |
|---|---|
| Speciality | Internal Medicine |
| Location | 15200 Community Rd, Gulfport, Mississippi |
| Authorized Official Name and Position | Janet Williams (PROVIDER SERVICES SPECIALIST) |
| Authorized Official Contact | 2284977576 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Singing River Gulfport Inpatient Physician Services 2101 Highway 90 Gautier MS 39553-5340 Ph: (228) 497-7576 | Singing River Gulfport Inpatient Physician Services 15200 Community Rd Gulfport MS 39503-3085 Ph: (228) 575-7112 |
| NPI Number | 1487327193 |
|---|---|
| Provider Enumeration Date | 07/28/2021 |
| Last Update Date | 08/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487327193 | NPI | - | NPPES |
| 09833721 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 314000000X | Skilled Nursing Facility | (* (Not Available)) | Secondary |
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