Medical Foundation of South Ms
NPI #1245276740 in Gulfport, Mississippi
Provider Information
- NPI Number
- 1245276740
- Entity Type
- Organization
- Organization Name
- Medical Foundation of South Ms
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jun 22, 2006
- Last Updated
- Apr 2, 2008
Practice Location
- Address
- 1110 BROAD AVE
- Address 2
- SUITE 700
- City
- Gulfport
- State
- Mississippi
- ZIP Code
- 39501-8907
- Phone
- (228) 864-0314
Authorized Official
- Name
- MR. RANDY ROBINSON
- Title
- ADMINISTRATOR
- Phone
- (228) 865-1453
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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