Ppim
NPI #1023213550 in Pascagoula, Mississippi
Provider Information
- NPI Number
- 1023213550
- Entity Type
- Organization
- Organization Name
- Ppim
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jun 15, 2007
- Last Updated
- Jul 18, 2007
Practice Location
- Address
- 3702 JEFFERSON AVE
- City
- Pascagoula
- State
- Mississippi
- ZIP Code
- 39563-6218
- Phone
- (228) 769-1166
Authorized Official
- Name
- DR. REGINALD STEWART
- Title
- OWNER
- Phone
- (228) 769-1166
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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