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NPI Code Detail

MEDICARE: SHELI MILAM SAMS

MEDICARE:   SHELI MILAM SAMS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician16922MS

General Provider Information

NPI Number : 1134159866
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHELI MILAM SAMS
Provider Business Mailing Address
First Line : 1001 N HALSTEAD RD
Second Line : SUITE B
City : OCEAN SPRINGS
State : MS
Zip : 39564-3121
Country : US
Telephone Number : 228-818-0416
Fax Number : 228-818-4932
Provider Business Practice Location Address
First Line : 1001 N HALSTEAD RD
Second Line : SUITE B
City : OCEAN SPRINGS
State : MS
Zip : 39564-3121
Country : US
Telephone Number : 228-818-0416
Fax Number : 228-818-4932
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2006
Last Update Date : 08/13/2019

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Directions to “ SHELI MILAM SAMS ” Practice Location

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