| Garlington Haller Ventures, Llc | |
|
14231 Seaway Rd Ste E4 Gulfport MS 39503-4627 | |
| (228) 273-4002 | |
| (228) 273-8922 |
| Full Name | Garlington Haller Ventures, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 14231 Seaway Rd Ste E4, Gulfport, Mississippi |
| Authorized Official Name and Position | Timothy H Haller (CEO) |
| Authorized Official Contact | 2282734002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Garlington Haller Ventures, Llc Po Box 8700 Gulfport MS 39506-8700 Ph: (228) 273-4002 | Garlington Haller Ventures, Llc 14231 Seaway Rd Ste E4 Gulfport MS 39503-4627 Ph: (228) 273-4002 |
| NPI Number | 1659962975 |
|---|---|
| Provider Enumeration Date | 01/29/2021 |
| Last Update Date | 01/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659962975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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