Coastline Medical Center, Pllc

NPI #1952525859 in Diberville, Mississippi

Provider Information

NPI Number: 1952525859
Entity Type: Organization
Organization Name: Coastline Medical Center, Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Apr 12, 2007
Last Updated: Jan 4, 2011

Practice Location

Address: 10536 AUTO MALL PKWY
Address 2: SUITE A
City: Diberville
State: Mississippi
ZIP Code: 39540-3742
Phone: (228) 396-0333

Authorized Official

Name: DR. NGUYEN PHONG HUYNH, D.O
Title: PHYSICIAN
Phone: (228) 396-0333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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