Provider Demographics
NPI:1043305295
Name:OCEAN SPRINGS INTERNAL MEDICINE LLC
Entity Type:Organization
Organization Name:OCEAN SPRINGS INTERNAL MEDICINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:VYE
Authorized Official - Middle Name:
Authorized Official - Last Name:TOOMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:228-872-3191
Mailing Address - Street 1:1131 OCEAN SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:OCEAN SPRINGS
Mailing Address - State:MS
Mailing Address - Zip Code:39564-3421
Mailing Address - Country:US
Mailing Address - Phone:228-872-3191
Mailing Address - Fax:228-872-3676
Practice Address - Street 1:1131 OCEAN SPRINGS RD
Practice Address - Street 2:
Practice Address - City:OCEAN SPRINGS
Practice Address - State:MS
Practice Address - Zip Code:39564-3421
Practice Address - Country:US
Practice Address - Phone:228-872-3191
Practice Address - Fax:228-872-3676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty