Provider Demographics
NPI:1306364435
Name:OCEAN SPRINGS LUNG CLINIC LLC
Entity Type:Organization
Organization Name:OCEAN SPRINGS LUNG CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:KEITH
Authorized Official - Last Name:FRENCH
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:228-254-1366
Mailing Address - Street 1:2113 GOVERNMENT ST STE K2
Mailing Address - Street 2:
Mailing Address - City:OCEAN SPRINGS
Mailing Address - State:MS
Mailing Address - Zip Code:39564-3949
Mailing Address - Country:US
Mailing Address - Phone:228-254-1366
Mailing Address - Fax:228-254-1367
Practice Address - Street 1:2113 GOVERNMENT ST STE K2
Practice Address - Street 2:
Practice Address - City:OCEAN SPRINGS
Practice Address - State:MS
Practice Address - Zip Code:39564-3949
Practice Address - Country:US
Practice Address - Phone:228-254-1366
Practice Address - Fax:228-254-1367
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-09
Last Update Date:2019-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS22738207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty