Organization · Type 2 NPI

Surgical Assistants of Memorial

Surgical Physician Assistant · Gulfport, MS

NPI number 1992503932 Active

Practice location

13334 Seaway Rd Ste 107
Gulfport, MS 39503-5290

Mailing address

PO Box 7094
Gulfport, MS 39506-7094

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

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About NPI 1992503932

Surgical Assistants of Memorial's National Provider Identifier is 1992503932, issued on Mar 5, 2025. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Gulfport, MS. The record was last updated on Apr 8, 2026.