Coastal Preventative Medicine, Llc | |
3300 Ladnier Rd Gautier MS 39553-5909 | |
(228) 497-2652 | |
(228) 497-3667 |
Full Name | Coastal Preventative Medicine, Llc |
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Speciality | Clinic/center - Primary Care |
Location | 3300 Ladnier Rd, Gautier, Mississippi |
Authorized Official Name and Position | Barry Monday (ADMIN) |
Authorized Official Contact | 6012962552 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Coastal Preventative Medicine, Llc Po Box 17708 Hattiesburg MS 39404-7708 Ph: (601) 296-2552 | Coastal Preventative Medicine, Llc 3300 Ladnier Rd Gautier MS 39553-5909 Ph: (228) 497-2652 |
NPI Number | 1699067959 |
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Provider Enumeration Date | 05/04/2011 |
Last Update Date | 05/04/2011 |
Identifier | Type | State | Issuer |
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1699067959 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
261QP2300X | Clinic/center - Primary Care | (Mississippi) | Secondary |
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Gautier Internal Medicine Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2105 Old Spanish Trl, Gautier, MS 39553 Phone: 228-497-7980 | |
Preventative Medicine And Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3300 Ladnier Rd, Gautier, MS 39553 Phone: 228-497-2652 | |
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Gautier Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3300 Ladnier Rd, Gautier, MS 39553 Phone: 228-497-2652 Fax: 228-497-6253 |