Medical Foundation of South Ms
NPI #1356469423 in Gulfport, Mississippi
Provider Information
- NPI Number
- 1356469423
- Entity Type
- Organization
- Organization Name
- Medical Foundation of South Ms
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Mar 27, 2007
- Last Updated
- Jun 13, 2008
Practice Location
- Address
- 1110 BROAD AVE
- Address 2
- SUITE 700
- City
- Gulfport
- State
- Mississippi
- ZIP Code
- 39501-8907
- Phone
- (228) 864-4151
Authorized Official
- Name
- MR. RANDY ROBINSON
- Title
- ADMINISTRATOR
- Phone
- (228) 865-1453
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
| Clinical Medical Laboratory |
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