Gulf Coast Internal Medicine Pllc
LBN: Gulf Coast Internal Medicine Pllc
Gulf Coast Internal Medicine Pllc is an health care organization with primary practice located at 1721 Medical Park Dr Ste 101, Biloxi MS 39532. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
Gulf Coast Internal Medicine Pllc can be contacted via phone (228) 388-0062, or through Lenox, Valerie Reed via phone (228) 388-0062.
Contact Information
Primary practice address
1721 Medical Park Dr Ste 101
Biloxi MS 39532
Phone: (228) 388-0062
Fax: (228) 388-1701
Website:
Authorized official contact:
Name: Lenox, Valerie Reed Doctor of Medicine (MD)
Phone: (228) 388-0062
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X |
Profile Details
| NPI number | 1164450359 |
|---|---|
| LBN Legal business name | Gulf Coast Internal Medicine Pllc |
| DBA Doing business as | |
| Authorized official | Lenox, Valerie Reed Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164450359 | NPPES |
| Mississippi | Other | R784087 | LICENSE LEIGH DRACE |
| Mississippi | Other | 17319 | LICENSE LEIGH DRACE |
| Mississippi | MEDICAID | 09015465 | LICENSE LEIGH DRACE |
| Mississippi | Other | 13331 | LICENSE LEIGH DRACE |
| Mississippi | Other | 16183 | LICENSE LEIGH DRACE |
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