MEDICAL FOUNDATION OF SOUTH MS

GULFPORT, MS
NPI1922034073
Doing Business AsSOUTH COAST INTERNISTS
Entity TypeOrganization
Authorized ContactRANDY ROBINSON
Administrator
228-865-1453
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2006-06-23
Last Update Date2008-04-02
Business Address
MEDICAL FOUNDATION OF SOUTH MS
1340 BROAD AVE SUITE 310
GULFPORT, MS 39501-2418
Phone number: 228-864-6629
Mailing Address
MEDICAL FOUNDATION OF SOUTH MS
1612 31ST AVE
GULFPORT, MS 39501-2750
Phone number: 228-865-1453