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Contact Information

MEMORIAL HOSPITAL AT GULFPORT
4540 W RAILROAD ST
SUITE B
GULFPORT, MS39501-2480
 Phone: 228-867-4856
 Fax: 228-867-4883
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rheumatology

207RR0500X 11 Physician/Internal Medicine
Indicates primary specialty

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

NPI # 1366774093
Status Active
Credentials
Entity Individual
Enumeration date 02/05/2010
Last updated 07/14/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • MS Medicaid 00182510
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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