Moon Muirhead, Melissa
Moon Muirhead, Melissa is an individual health care provider with primary practice located at 4500 13Th St , Gulfport MS 39501-2569. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Moon Muirhead, Melissa can be contacted via phone (228) 867-4396.Contact Information
Primary practice address
4500 13Th St
Gulfport MS 39501-2569
Phone: (228) 867-4396
Fax: (228) 867-5354
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 23762 | Mississippi |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 23762 | Mississippi |
Profile Details
| NPI number | 1275897662 |
|---|---|
| LBN Legal business name | Moon Muirhead, Melissa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2012 |
| Last updated | Aug 10th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275897662 | NPPES |
| Mississippi | MEDICAID | 08109847 |
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