Medical Foundation Of South Ms in Gulfport - Internal Medicine

Medical Foundation Of South Ms - NPI 1922034073

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 1922034073. The last update date is 2008-04-02.

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 1922034073
Provider Enumeration Date 2006-06-23
Last Updated Date 2008-04-02

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
5900013 MS --

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FAQs about Medical Foundation Of South Ms

What is the unique identifier code issued to Medical Foundation Of South Ms by the Centers for Medicare & Medicaid Services (CMS)?

The Medical Foundation Of South Ms has been assigned the NPI (National Provider Identifier) 1922034073. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Medical Foundation Of South Ms is located?

The Medical Foundation Of South Ms is situated at the following address: 1612 31St Ave, Gulfport, MS, 395012750.

What is Medical Foundation Of South Ms's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Medical Foundation Of South Ms is Internal Medicine, and the corresponding taxonomy classification code for this specialized field is 207R00000X.

On what date did Medical Foundation Of South Ms receive its 1922034073 assignment from the Centers for Medicare & Medicaid Services?

The Medical Foundation Of South Ms was assigned its 1922034073 on 2006-06-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Medical Foundation Of South Ms, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Medical Foundation Of South Ms, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-04-02.

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