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

Gulfport OBGYN Clinic, LLC

Organization Clinic/Center · NPI 1902635071

Gulfport OBGYN Clinic, LLC is a Clinic/Center in Gulfport, Mississippi. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4502 Old Pass Rd
Gulfport, MS 39501-2585
Phone: (228) 863-9977
Fax: (228) 863-9912
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1902635071
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sydney Gruich — Office Manager · (228) 863-9977
NPI enumeratedJuly 29, 2024
Last updated in NPPESJuly 30, 2024
Certification dateJuly 30, 2024
Mailing address4502 Old Pass Rd, Gulfport, MS 39501-2585

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