OrganizationActive
Coast Kidney Disease & Internal Medicine
NPI 1497847917 · Nephrology Physician · Ocean Springs, MS
Provider details
- NPI number
- 1497847917
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Alanna Black, Office Manager(228) 818-9008
- License
- 15918 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3099 Bienville Blvd
Ocean Springs, MS 39564-4308
Phone: (228) 818-9008
Fax: (228) 818-0750
Approximate (ZIP-level) locationGet directions
Mailing address
3099 Bienville Blvd
Ocean Springs, MS 39564-4308
Registry dates
- Enumerated
- 2006-09-29
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.