| Gulf Coast Consultants, Infectious Diseases, Llc | |
|
2572 Brighton Cir Biloxi MS 39531-2733 | |
| (228) 236-4262 | |
| Not Available |
| Full Name | Gulf Coast Consultants, Infectious Diseases, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2572 Brighton Cir, Biloxi, Mississippi |
| Authorized Official Name and Position | Nicholas G Conger (OWNER/OPERATOR) |
| Authorized Official Contact | 2282364262 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulf Coast Consultants, Infectious Diseases, Llc 2572 Brighton Cir Biloxi MS 39531-2733 Ph: (228) 236-4262 | Gulf Coast Consultants, Infectious Diseases, Llc 2572 Brighton Cir Biloxi MS 39531-2733 Ph: (228) 236-4262 |
| NPI Number | 1699412734 |
|---|---|
| Provider Enumeration Date | 05/19/2022 |
| Last Update Date | 05/19/2022 |
| Medicare PECOS PAC ID | 3375921893 |
|---|---|
| Medicare Enrollment ID | O20220610002508 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699412734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Lauren Alena Quave |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881960136 PECOS PAC ID: 7517116387 Enrollment ID: I20121011000507 |
| Provider Name | Kami Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417355694 PECOS PAC ID: 2668782418 Enrollment ID: I20151105002403 |
| Provider Name | Nicholas G Conger |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1598743890 PECOS PAC ID: 6709029564 Enrollment ID: I20170614001105 |
| Provider Name | Michelle Orlin Denette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801318498 PECOS PAC ID: 7719246982 Enrollment ID: I20180116000109 |
| Provider Name | Matt K Gatlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629634506 PECOS PAC ID: 0143556910 Enrollment ID: I20190731003806 |
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