| Gulf Coast Children's Clinic, Pa | |
|
3650 Groveland Rd Ocean Springs MS 39564-5753 | |
| (228) 875-0780 | |
| (228) 875-1009 |
| Full Name | Gulf Coast Children's Clinic, Pa |
|---|---|
| Speciality | Clinic/center |
| Location | 3650 Groveland Rd, Ocean Springs, Mississippi |
| Authorized Official Name and Position | Obaid A Siddiqui (PRESIDENT) |
| Authorized Official Contact | 2288750780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulf Coast Children's Clinic, Pa 3650 Groveland Rd Ocean Springs MS 39564-5753 Ph: (228) 875-0780 | Gulf Coast Children's Clinic, Pa 3650 Groveland Rd Ocean Springs MS 39564-5753 Ph: (228) 875-0780 |
| NPI Number | 1750571170 |
|---|---|
| Provider Enumeration Date | 08/01/2007 |
| Last Update Date | 09/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750571170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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