South Mississippi Nephrology

NPI 1134168081 - Internal Medicine - 207RN0300X

NPI Details
NPI 1134168081
Enumeration Date 06/06/2006
Last Updated 08/21/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DOUGLAS DOUGLAS
Position MANAGING MEMBER
Phone (228) 863-7393
Fax (228) 864-0546
Practice Location
4300B W RAILROAD ST
GULFPORT MS, 39501-2568, US
Phone (228) 863-7393
Fax (228) 864-0546
Business Location
4300B W RAILROAD ST
GULFPORT MS, 39501-2568, US
Phone (228) 863-7393
Fax (228) 864-0546
Toxanomy
Taxonomy Code 207RN0300X
License State
License Number
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According to our database, South Mississippi Nephrology NPI is 1134168081, taxonomy code is 207RN0300X South Mississippi Nephrology physically located at 4300b W Railroad St, Gulfport MS, 39501-2568. NPI Number 1033115704 has the healthcare provider type.

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1134168081 NPI number is provided on an as is basis without warranty of any kind. 1134168081 is maintained by the National Plan & Provider Enumeration System. The contents of South Mississippi Nephrology are for informational purposes only.