Magnolia Grove Healthcare | |
4333 15th St Ste A Gulfport MS 39501-2525 | |
(228) 863-4000 | |
(228) 863-4003 |
Full Name | Magnolia Grove Healthcare |
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Speciality | Clinic/center - Primary Care |
Location | 4333 15th St Ste A, Gulfport, Mississippi |
Authorized Official Name and Position | Tracey Decena (OFFICE MANAGER) |
Authorized Official Contact | 2288634000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Magnolia Grove Healthcare Po Box 1040 Gulfport MS 39502-1040 Ph: (228) 863-4000 | Magnolia Grove Healthcare 4333 15th St Ste A Gulfport MS 39501-2525 Ph: (228) 863-4000 |
NPI Number | 1710179395 |
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Provider Enumeration Date | 08/16/2007 |
Last Update Date | 08/16/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710179395 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 12792 (Mississippi) | Primary |
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