Gulfport Surgery Clinic
Gulfport Surgery Clinic is a Specialist in Gulfport, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.
- Licensed in
- MS
- In the registry since
- 2006
Practice location Address checks out
1312 44th AveGulfport, MS 39501-2552
Phone: (228) 822-6160
Fax: (228) 539-8327
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 13995 (MS) |
|---|
Record details
| NPI number | 1740291145 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Thomas Mace — Owner · (228) 822-6160 |
| NPI enumerated | August 10, 2006 |
| Last updated in NPPES | June 11, 2020 |
| Certification date | June 11, 2020 |
| Mailing address | 1312 44th Ave, Gulfport, MS 39501-2552 |
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