Medical Foundation of South Ms
NPI #1174542146 in Long Beach, Mississippi
Provider Information
- NPI Number
- 1174542146
- Entity Type
- Organization
- Organization Name
- Medical Foundation of South Ms
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jul 19, 2006
- Last Updated
- May 23, 2008
Practice Location
- Address
- 5120 BEATLINE RD
- Address 2
- SUITE B
- City
- Long Beach
- State
- Mississippi
- ZIP Code
- 39560-3815
- Phone
- (228) 868-4294
Authorized Official
- Name
- MR. RANDY ROBINSON
- Title
- ADMINISTRATOR
- Phone
- (228) 865-1453
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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