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Physicians Internal Medicine Hematology

Provider NPI: 1740204676

Provider Information:
Gender: F
Not Sole Proprietor

Practice Location:
400 VETERANS AVE  BILOXI, MS 39531-2410 US
Tel: 228-523-5000  Fax: 228-523-4342

Business Mailing Address:
1324 BEACH BLVD  BILOXI, MS 39530-3527 US
Tel: 228-341-7574  Fax: --

NPI Information:
NPI: 1740204676
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Internal Medicine

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 207RH0000X





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