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1720207749
SPINE MEDICAL CENTER,LLC
GULFPORT, MS
NPI
1720207749
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Entity Type
Organization
Authorized Contact
JOEL BERMAN BURWELL
Dr.
228-865-4731
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MS 12692)
Enumeration Date
2007-04-25
Last Update Date
2020-08-22
Business Address
SPINE MEDICAL CENTER,LLC
9344 THREE RIVERS RD
GULFPORT, MS 39503-4268
Phone number: 228-865-4731
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Mailing Address
SPINE MEDICAL CENTER,LLC
PO BOX 2156
GULFPORT, MS 39505-2156
Phone number: 228-865-4731
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