| Pascagoula Neurology Pllc | |
|
3109 Shortcut Rd Pascagoula MS 39567-1811 | |
| (228) 522-6482 | |
| (228) 522-6320 |
| Full Name | Pascagoula Neurology Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 3109 Shortcut Rd, Pascagoula, Mississippi |
| Authorized Official Name and Position | Margo D Gedeon (CODING / BILLING) |
| Authorized Official Contact | 2284972652 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pascagoula Neurology Pllc Po Box 542 Gautier MS 39553-0542 Ph: (228) 522-6482 | Pascagoula Neurology Pllc 3109 Shortcut Rd Pascagoula MS 39567-1811 Ph: (228) 522-6482 |
| NPI Number | 1205017480 |
|---|---|
| Provider Enumeration Date | 11/16/2007 |
| Last Update Date | 08/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205017480 | NPI | - | NPPES |
| 1861483075 | Other | MS | IND NPI |
| 06238271 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 17909 (Mississippi) | Primary |
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