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

Diberville Medical Spa

Organization Clinic/Center · NPI 1861766289

Diberville Medical Spa is a Clinic/Center in Diberville, Mississippi. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

3661 Sangani Blvd Ste C
Diberville, MS 39540-8706
Phone: (228) 223-1927
Show map & directions

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

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1861766289
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ronnie Ali — President · (228) 223-1927
NPI enumeratedMarch 2, 2012
Last updated in NPPESMarch 2, 2012
Mailing addressPo Box 1248, Ocean Springs, MS 39566-1248