NPI 1073248134

Jay J Libys MD PA

Organisation Cardiovascular Disease Physician Gulfport, MS

Practice location

Address: 4500 13th St, Gulfport, MS 39501-2515
Phone: (228) 822-6132
Mailing address: 24654 Oak Island Dr, Pass Christian, MS 39571-8142

Authorised official

Name: William Fulcher
Title: Mgr
Phone: (601) 918-7301

Registered specialties

Cardiovascular Disease Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RC0000X

Other Internal Medicine providers in Mississippi →

Registry record

NPI: 1073248134
Entity type: Organization
NPI issued: 21 Jul 2022
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.