Medical Care Center, Pllc | |
3434 Bienville Blvd Ocean Springs MS 39564-5732 | |
(228) 875-1599 | |
(228) 875-1124 |
Full Name | Medical Care Center, Pllc |
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Speciality | Family Medicine |
Location | 3434 Bienville Blvd, Ocean Springs, Mississippi |
Authorized Official Name and Position | Janus Kulpa (OWNER) |
Authorized Official Contact | 2288751599 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Medical Care Center, Pllc 3434 Bienville Blvd Ocean Springs MS 39564-5732 Ph: (228) 875-1599 | Medical Care Center, Pllc 3434 Bienville Blvd Ocean Springs MS 39564-5732 Ph: (228) 875-1599 |
NPI Number | 1316168339 |
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Provider Enumeration Date | 05/01/2007 |
Last Update Date | 01/26/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316168339 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME14877 (Mississippi) | Primary |
363A00000X | Physician Assistant | PA00086 (Mississippi) | Secondary |
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