Mae Ditta Spahr
Medical Specialty
Professional ID
- NPI: 1538248794
- PECOS ID: 2466345400
- Enrollment ID: I20040204000608
- Credential(MD, DO, DPM): CNA
- Medical School:
- Medical School Graduation Year: 1997
Hospital Service
- Hospital CCN1: 250019
- Business Name (LBN)1: Memorial Hospital At Gulfport
Medical Practices
- Organization Name: Memorial Hospital At Gulfport
- Group Practice ID assigned by PECOS: 2466524012
- Number of Group Practice member: 356
Location
- Address1: 4500 13th St
- Address2:
- City: Gulfport
- State: Mississippi
- Zip Code: 39501
- Phone Number: (228)867-3152
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):