New Wave Internal Medicine Clinic, Pllc

LBN: New Wave Internal Medicine Clinic, Pllc
New Wave Internal Medicine Clinic, Pllc is an health care organization with primary practice located at 1135 Ocean Springs Rd , Ocean Springs MS 39564-3421. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. New Wave Internal Medicine Clinic, Pllc can be contacted via phone (228) 875-6695, or through Colville, Amber D via phone (228) 875-6695.

Contact Information

Primary practice address
1135 Ocean Springs Rd Ocean Springs MS 39564-3421
Phone: (228) 875-6695
Fax: (228) 875-6696
Website:
Map and Directions
Authorized official contact:
Name: Colville, Amber D Doctor of Medicine (MD)
Phone: (228) 875-6695

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 18422 Mississippi

Profile Details

NPI number 1891138509
LBN Legal business name New Wave Internal Medicine Clinic, Pllc
DBA Doing business as
Authorized official Colville, Amber D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2013
Last updated Apr 11th, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891138509 NPPES
Mississippi MEDICAID 2107231

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