Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Children's Medical Center

Organization Pediatrics Physician · NPI 1790974111

Children's Medical Center is a Pediatrics Physician in Gulfport, Mississippi. Licensed in Mississippi. Registered with an NPI since 2007.

Licensed in
MS
In the registry since
2007

Practice location Address checks out

15465 Oak Ln Ste 100 F
Gulfport, MS 39503-2663
Phone: (228) 832-0414
Fax: (228) 832-8227
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 14692 (MS)

Record details

NPI number1790974111
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fauzia Quddus — President · (228) 832-0414
NPI enumeratedOctober 22, 2007
Last updated in NPPESJune 13, 2008
Mailing address15465 Oak Ln, Suite 100 F, Gulfport, MS 39503-2663

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