Medical Foundation Of South Ms in Gulfport - Internal Medicine

Medical Foundation Of South Ms - NPI 1720014202

Medical Foundation Of South Ms is a Internal Medicine in Gulfport, Mississippi. Medical Foundation Of South Ms practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Medical Foundation Of South Ms is 1720014202. The last update date is 2020-08-22.

Medical Foundation Of South Ms's current location address is 1612 31st Ave, Gulfport, Mississippi. You can contact this provider via phone number 2288651453 and fax number 2288651451. The mailing address for Medical Foundation Of South Ms is 1612 31st Ave, Gulfport, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Organization Medical Foundation Of South Ms
Address 1612 31st Ave, Gulfport, Mississippi
Phone Number 2288651453
Fax Number 2288651451
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Robinson Randy
Telephone Number 2288651453

NPI Number Detail

NPI Number 1720014202
Provider Enumeration Date 2006-06-25
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 1612 31st Ave
City Gulfport
State Mississippi (MS)
Post Code 395012750
Phone Number 2288651453
Fax Number 2288651451

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
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
9014945 MS --

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FAQs about Medical Foundation Of South Ms

What is the unique 10-digit identifier code issued to Medical Foundation Of South Ms by the Centers for Medicare & Medicaid Services?

The Medical Foundation Of South Ms has been assigned the NPI (National Provider Identifier) 1720014202 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Can you provide the Medical Foundation Of South Ms's physical address?

The Medical Foundation Of South Ms is physically located at 1612 31St Ave, in the city of Gulfport, MS, with the postal code 395012750.

What is Medical Foundation Of South Ms's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Medical Foundation Of South Ms is Internal Medicine, and the taxonomy code that categorizes this field of expertise is 207R00000X.

On what date did the Medical Foundation Of South Ms receive the assignment of its 1720014202 from the Centers for Medicare & Medicaid Services?

The Medical Foundation Of South Ms was issued its 1720014202 by the Centers for Medicare & Medicaid Services on 2006-06-25.

As of what date was the information pertaining to Medical Foundation Of South Ms, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Medical Foundation Of South Ms, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.

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