Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gulf Coast Dermatology, PA

Organization Dermatology Physician · NPI 1376532788

Gulf Coast Dermatology, PA is a Dermatology Physician in Gulfport, Mississippi. Licensed in Mississippi. Registered with an NPI since 2005.

Licensed in
MS
In the registry since
2005
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1304 44th Ave
Gulfport, MS 39501-2552
Phone: (228) 868-4006
Fax: (228) 868-9545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 14316 (MS)

Record details

NPI number1376532788
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gwendolyn Crane — Physician · (228) 868-4006
NPI enumeratedOctober 18, 2005
Last updated in NPPESAugust 20, 2009
Mailing address1304 44th Ave, Gulfport, MS 39501-2552

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