MEDICAL FOUNDATION OF SOUTH MISSISSIPPI NPI 1801904156

NPI Information

MEDICAL FOUNDATION OF SOUTH MISSISSIPPI is a family medicine in Gulfport, MS. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MEDICAL FOUNDATION OF SOUTH MISSISSIPPI NPI is 1801904156. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Weaver Family Practice.

The provider's business location address is:

1612 31ST AVE
GULFPORT, MS
ZIP 39501-750
Phone: (228) 865-1453
Fax: (228) 865-1451

The provider's authorized official is Randy Robinson .
The authorized official title is Administrator and has the following contact phone number (228) 865-1453.

The enumeration date for this NPI number is 8/28/2006 and was last updated on 2/1/2008.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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