A R Mizell Llc

NPI 1144582040 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1144582040
Enumeration Date 06/15/2012
Last Updated 03/20/2013
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Position OWNER
Phone (228) 896-7108
Fax (228) 896-7174
Practice Location
1212 E PASS RD
GULFPORT MS, 39507-3403, US
Phone (228) 896-7108
Fax (228) 896-7174
Business Location
PO BOX 6272
GULFPORT MS, 39506-6272, US
Phone (228) 896-7108
Fax (228) 896-7174
Taxonomy Code 363LF0000X
License State
License Number
Remove 1144582040 NPI Number

According to our database, A R Mizell Llc NPI is 1144582040, taxonomy code is 363LF0000X A R Mizell Llc physically located at 1212 E Pass Rd, Gulfport MS, 39507-3403. NPI Number 1033115704 has the healthcare provider type.

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1144582040 NPI number is provided on an as is basis without warranty of any kind. 1144582040 is maintained by the National Plan & Provider Enumeration System. The contents of A R Mizell Llc are for informational purposes only.