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1295928893
ORANGE GROVE MEDICAL SPECIALTIES, P.A.
GULFPORT, MS
NPI
1295928893
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Entity Type
Organization
Authorized Contact
LISA LEATHERWOOD
Manager
228-832-5151
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2007-08-27
Last Update Date
2015-05-15
Business Address
ORANGE GROVE MEDICAL SPECIALTIES, P.A.
15286 COMMUNITY RD
GULFPORT, MS 39503-3509
Phone number: 228-832-5151
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Mailing Address
ORANGE GROVE MEDICAL SPECIALTIES, P.A.
15286 COMMUNITY RD
GULFPORT, MS 39503
Phone number: 228-832-5151
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