| Garden Park Physician Group Inc | |
|
416 E Pass Rd Gulfport MS 39507-3236 | |
| (228) 896-6505 | |
| (228) 896-6509 |
| Full Name | Garden Park Physician Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 416 E Pass Rd, Gulfport, Mississippi |
| Authorized Official Name and Position | Louis R. Joseph (VP) |
| Authorized Official Contact | 6153737600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Garden Park Physician Group Inc 3 Maryland Farms Suite 250 Brentwood TN 37027-5005 Ph: (615) 373-7600 | Garden Park Physician Group Inc 416 E Pass Rd Gulfport MS 39507-3236 Ph: (228) 896-6505 |
| NPI Number | 1285660688 |
|---|---|
| Provider Enumeration Date | 06/25/2006 |
| Last Update Date | 03/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285660688 | NPI | - | NPPES |
| 09016021 | Medicaid | MS | |
| 1285660688 | Medicaid | AL | |
| 01622395 | Medicaid | MS | |
| 05826810 | Medicaid | MS | |
| 08838517 | Medicaid | MS | |
| 09016020 | Medicaid | MS | |
| 09106019 | Medicaid | MS |
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