IndividualActive
Joseph Shrum, MD
NPI 1417040213 · Dermatology Physician · Gulfport, MS
Provider details
- NPI number
- 1417040213
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 11871 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1245 42nd Ave
Gulfport, MS 39501-2666
Phone: (228) 864-8049
Fax: (228) 864-7655
Approximate (ZIP-level) locationGet directions
Mailing address
1245 42nd Ave
Gulfport, MS 39501-2666
Registry dates
- Enumerated
- 2006-10-02
- Last updated
- 2014-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.