Organization Name: | THE ISLANDS WEIGHTLOSS CENTER |
NPI Number: | 1164877668 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHELI MILAM (OWNER) |
Mailing Address: | 1001 N Halstead Rd Ocean Springs |
State: | MS US |
Postal Code: | 395643121 |
Phone Number: | 2288758001 |
Fax Number: | |
NPI Enumeration Date: | 05/03/2016 |
NPI Last Update Date: | 05/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | 16922 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |