| Gulf Coast Neurology Center, Pllc | |
|
3631 Bienville Blvd Suite A Ocean Springs MS 39564-5702 | |
| (228) 818-9620 | |
| (228) 818-9750 |
| Full Name | Gulf Coast Neurology Center, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 3631 Bienville Blvd, Ocean Springs, Mississippi |
| Authorized Official Name and Position | Lennon E Bowen (MANAGER) |
| Authorized Official Contact | 2288189620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulf Coast Neurology Center, Pllc 3631 Bienville Blvd Suite A Ocean Springs MS 39564-5702 Ph: (228) 818-9620 | Gulf Coast Neurology Center, Pllc 3631 Bienville Blvd Suite A Ocean Springs MS 39564-5702 Ph: (228) 818-9620 |
| NPI Number | 1891833299 |
|---|---|
| Provider Enumeration Date | 02/01/2007 |
| Last Update Date | 05/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891833299 | NPI | - | NPPES |
| 646000515 | Other | COMMERCIAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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