| Primary Care Medical Center Of Gulfport, Pllc | |
|
15444 Dedeaux Rd Ste. B Gulfport MS 39503-2637 | |
| (228) 832-9038 | |
| (228) 832-9990 |
| Full Name | Primary Care Medical Center Of Gulfport, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 15444 Dedeaux Rd, Gulfport, Mississippi |
| Authorized Official Name and Position | Angela V Mcclure (INSURANCE CLERK) |
| Authorized Official Contact | 2288329038 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Medical Center Of Gulfport, Pllc 15444 Dedeaux Rd Ste. B Gulfport MS 39503-2637 Ph: (228) 832-9038 | Primary Care Medical Center Of Gulfport, Pllc 15444 Dedeaux Rd Ste. B Gulfport MS 39503-2637 Ph: (228) 832-9038 |
| NPI Number | 1427271840 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 07/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427271840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | (* (Not Available)) | Secondary |
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