Coastline Medical Center, Pllc in Diberville - Internal Medicine

Coastline Medical Center, Pllc - NPI 1952525859

Coastline Medical Center, Pllc is a Internal Medicine in Diberville, Mississippi. Coastline Medical Center, Pllc practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Coastline Medical Center, Pllc is 1952525859. The last update date is 2011-01-04.

Coastline Medical Center, Pllc's current location address is 10536 Auto Mall Pkwy, Diberville, Mississippi. You can contact this provider via phone number 2283960333 and fax number 2283964060. The mailing address for Coastline Medical Center, Pllc is 10536 Auto Mall Pkwy, Diberville, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Organization Coastline Medical Center, Pllc
Address 10536 Auto Mall Pkwy, Diberville, Mississippi
Phone Number 2283960333
Fax Number 2283964060
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PHYSICIAN
Authorized Official Name Huynh Phong Nguyen
Credentials D.O
Telephone Number 2283960333

NPI Number Detail

NPI Number 1952525859
Provider Enumeration Date 2007-04-12
Last Updated Date 2011-01-04

Provider Mailing Address Detail

Address 10536 Auto Mall Pkwy
City Diberville
State Mississippi (MS)
Post Code 395403742
Phone Number 2283960333
Fax Number 2283964060

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 19050
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1457462954 MS NPI FOR DR. HUYNH
1982618310 MS NPI FOR DR. LE

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FAQs about Coastline Medical Center, Pllc

What is the unique provider identifier assigned to Coastline Medical Center, Pllc?

The Coastline Medical Center, Pllc has been issued the NPI (National Provider Identifier) 1952525859 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Coastline Medical Center, Pllc's facilities are situated?

The facilities of Coastline Medical Center, Pllc are physically located at the following address: 10536 Auto Mall Pkwy, Diberville, MS, 395403742.

What is Coastline Medical Center, Pllc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Coastline Medical Center, Pllc is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1952525859 to Coastline Medical Center, Pllc?

The Centers for Medicare & Medicaid Services originally issued the 1952525859 to Coastline Medical Center, Pllc on 2007-04-12.

When was the information regarding Coastline Medical Center, Pllc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Coastline Medical Center, Pllc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-01-04.

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