| Coast Neurology And Wellness Clinic Llc | |
|
1903 Pass Rd Ste A Biloxi MS 39531-4120 | |
| (228) 436-1649 | |
| (228) 436-1664 |
| Full Name | Coast Neurology And Wellness Clinic Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1903 Pass Rd Ste A, Biloxi, Mississippi |
| Authorized Official Name and Position | Juli Pucheu (OFFICE MANAGER) |
| Authorized Official Contact | 2284361649 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coast Neurology And Wellness Clinic Llc 1903 Pass Rd Ste A Biloxi MS 39531-4120 Ph: (228) 436-1649 | Coast Neurology And Wellness Clinic Llc 1903 Pass Rd Ste A Biloxi MS 39531-4120 Ph: (228) 436-1649 |
| NPI Number | 1205390549 |
|---|---|
| Provider Enumeration Date | 01/30/2019 |
| Last Update Date | 03/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205390549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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