| Gulf Coast Spinal & Neurosurgical Specialists | |
|
1340 Broad Ave Suite 440 Gulfport MS 39501-2404 | |
| (228) 822-2117 | |
| Not Available |
| Full Name | Gulf Coast Spinal & Neurosurgical Specialists |
|---|---|
| Speciality | Clinic/center - Ambulatory Surgical |
| Location | 1340 Broad Ave, Gulfport, Mississippi |
| Authorized Official Name and Position | Barry Monday (BILLING ADMIN) |
| Authorized Official Contact | 6012962552 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulf Coast Spinal & Neurosurgical Specialists Po Box 17708 Hattiesburg MS 39404-7708 Ph: (601) 296-2552 | Gulf Coast Spinal & Neurosurgical Specialists 1340 Broad Ave Suite 440 Gulfport MS 39501-2404 Ph: (228) 822-2117 |
| NPI Number | 1053699488 |
|---|---|
| Provider Enumeration Date | 08/03/2011 |
| Last Update Date | 08/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053699488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QA1903X | Clinic/center - Ambulatory Surgical | (* (Not Available)) | Primary |
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Gulf Coast Endocrinology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4540 W Railroad St, Gulfport, MS 39501 Phone: 228-867-6062 Fax: 228-867-2598 | |
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