A R MIZELL LLC is a family nurse practitioner in Gulfport, MS. A R MIZELL LLC NPI is 1144582040. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Southern Family Urgent Care.
The provider's business location address is:
1212 E PASS RD
GULFPORT, MS
ZIP 39507-403
Phone: (228) 896-7108
Fax: (228) 896-7174
The provider's authorized official is Amanda R Mizell .
The authorized official title is Owner and has the following contact phone number (251) 510-8175.
The CLIA number assigned to this NPI record is 25D2182630 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/15/2012 and was last updated on 2/14/2023.