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Contact Information

MEMORIAL HOSPITAL AT GULFPORT
1340 BROAD AVE STE 310
GULFPORT, MS39501-2464
 Phone: 228-575-1400
 Fax: 228-575-1414
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MEMORIAL HOSPITAL AT GULFPORT · (Female)

NPI Number 1740617232
Status Active
Credentials
Entity Individual
Enumeration date 09/30/2013
Last updated 01/09/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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