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MIRACLE BIRTH OB-GYN PA NPI 1285679639


NPI Information

NPI: 1285679639
Provider Name: MIRACLE BIRTH OB-GYN, PA
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
428 COURTHOUSE RD
STE C
GULFPORT, MS
ZIP 39507
Phone: (228) 897-8971
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MIRACLE BIRTH OB-GYN, PA is an obstetrics gynecology in Gulfport, MS. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. MIRACLE BIRTH OB-GYN, PA NPI is 1285679639. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

428 COURTHOUSE RD
STE C
GULFPORT, MS
ZIP 39507-867
Phone: (228) 897-8971
Fax: (228) 897-8975

The provider's authorized official is Heather Grace Edwards .
The authorized official title is President and has the following contact phone number (228) 897-8971.

The enumeration date for this NPI number is 6/19/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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