Starfish Family Practice | |
13066 Shriners Blvd Suite A And B Biloxi MS 39532-8616 | |
(228) 396-5022 | |
(228) 396-5028 |
Full Name | Starfish Family Practice |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 13066 Shriners Blvd, Biloxi, Mississippi |
Authorized Official Name and Position | Karen Yaltah Mullen (OWNER) |
Authorized Official Contact | 2283965022 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Starfish Family Practice 13066 Shriners Blvd Suite A And B Biloxi MS 39532-8616 Ph: (228) 396-5022 | Starfish Family Practice 13066 Shriners Blvd Suite A And B Biloxi MS 39532-8616 Ph: (228) 396-5022 |
NPI Number | 1154733673 |
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Provider Enumeration Date | 06/02/2014 |
Last Update Date | 06/02/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154733673 | NPI | - | NPPES |
06103001 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 14226 (Mississippi) | Primary |
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