| Gulf Coast Psychiatric Care | |
|
421 Delmas Ave Pascagoula MS 39567-4136 | |
| (228) 696-9224 | |
| (228) 696-9228 |
| Full Name | Gulf Coast Psychiatric Care |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 421 Delmas Ave, Pascagoula, Mississippi |
| Authorized Official Name and Position | Sera K Cox (OWNER) |
| Authorized Official Contact | 2286969224 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulf Coast Psychiatric Care 421 Delmas Ave Pascagoula MS 39567-4136 Ph: (228) 696-9224 | Gulf Coast Psychiatric Care 421 Delmas Ave Pascagoula MS 39567-4136 Ph: (228) 696-9224 |
| NPI Number | 1720277445 |
|---|---|
| Provider Enumeration Date | 10/18/2007 |
| Last Update Date | 10/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720277445 | NPI | - | NPPES |
| 01708228 | Medicaid | MS | |
| 427578364 | Other | MS | BCBS |
| 09734214 | Other | MS | MEDICAID GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 19819 (Mississippi) | Primary |
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