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

Internal Medicine Clinic of Picayune

Organization Internal Medicine Physician · NPI 1528004322

Internal Medicine Clinic of Picayune is an Internal Medicine Physician in Gulfport, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in
MS
In the registry since
2006

Practice location Address checks out

3300 15th St
Gulfport, MS 39501-3901
Phone: (228) 864-9669
Fax: (228) 864-9774
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 08597 (MS)

Record details

NPI number1528004322
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stanford Owen — Md · (228) 864-9669
Other names The Center For Health Management
NPI enumeratedJune 21, 2006
Last updated in NPPESAugust 22, 2020
Mailing address3300 15th St, Gulfport, MS 39501-3901

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