| |
1110 Cowan Rd Suite B Gulfport MS 39507-3441 | |
(601) 296-2552 | |
(601) 296-2397 |
Full Name | |
---|---|
Speciality | Clinic/center - Urgent Care |
Location | 1110 Cowan Rd, Gulfport, Mississippi |
Authorized Official Name and Position | Barry Monday (CEO) |
Authorized Official Contact | 6012962552 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 17708 Hattiesburg MS 39404-7708 Ph: (601) 296-2552 | 1110 Cowan Rd Suite B Gulfport MS 39507-3441 Ph: (601) 296-2552 |
NPI Number | 1184962342 |
---|---|
Provider Enumeration Date | 01/23/2013 |
Last Update Date | 01/23/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184962342 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
My Brother's Keeper, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1221 Bridge St, Gulfport, MS 39507 Phone: 769-216-2455 | |
The Healing Hub Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1520 29th Ave Ste 26, Gulfport, MS 39501 Phone: 228-380-0662 | |
Children's International, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15465 Oak Ln, Gulfport, MS 39503 Phone: 228-831-8800 Fax: 228-831-8020 | |
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 | |