| NPI | 1861010159 |
|---|---|
| Doing Business As | SINGING RIVER GULFPORT AMBULATORY |
| Entity Type | Organization |
| Authorized Contact | CHARLIE BRINKLEY CFO 228-497-7597 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2020-07-13 |