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3680 Sangani Blvd Diberville MS 39540-8703 | |
(228) 354-9300 | |
(228) 354-9301 |
Full Name | |
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Speciality | Family Medicine |
Location | 3680 Sangani Blvd, Diberville, Mississippi |
Authorized Official Name and Position | Michael L Gingras (VICE PRESIDENT) |
Authorized Official Contact | 2395983131 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5811 Pelican Bay Blvd Suite 500 Naples FL 34108-2733 Ph: (239) 598-3131 | 3680 Sangani Blvd Diberville MS 39540-8703 Ph: (228) 354-9300 |
NPI Number | 1376899070 |
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Provider Enumeration Date | 07/31/2012 |
Last Update Date | 11/27/2012 |
Identifier | Type | State | Issuer |
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1376899070 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Resolute Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4347 W Gay Rd, Diberville, MS 39540 Phone: 228-229-7989 | |
D'iberville Medical Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11516 Lamey Bridge Rd, Ste 1, Diberville, MS 39540 Phone: 228-207-4190 Fax: 228-207-4190 |