Wellformed AI

NPI 1770537920 · live from the CMS NPI Registry

Biloxi Hma Physician Management LLC

Family Medicine in Biloxi, MS. National Provider Identifier 1770537920, active.

NPI record

NPI1770537920 Type 2 · organization
StatusActive
Primary specialtyFamily Medicine 207Q00000X
Practice location147 Reynoir St, Suite 203, Biloxi, MS 39530
Practice phone228-436-1583
Mailing addressPo Box 689022, Franklin, TN 37068
EnumeratedMay 20, 2006
Last updatedJanuary 11, 2023
Authorized officialJennifer Jackson, Senior Director Provider Enrollment

Taxonomies and licenses

TaxonomyCodeLicense
Internal Medicine207R00000X—
Internal Medicine, Medical Oncology207RX0202X—
Obstetrics & Gynecology207V00000X—
Psychiatry & Neurology, Neurology2084N0400X—
Psychiatry & Neurology, Psychiatry2084P0800X—
Nurse Anesthetist, Certified Registered367500000X—
Family Medicine primary207Q00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.