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Organization
PASCAGOULA URGENT CARE CENTER LLC
Active
Organization
PASCAGOULA URGENT CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN SCOTT COOPER M.D. (OWNER)
(228) 762-2044
Entity
Organization
Contact information
Practice address
4305 DENNY AVE, PASCAGOULA, MS 39581-5509
(228) 762-2044
Mailing address
4305 DENNY AVE, PASCAGOULA, MS 39581-5509
(228) 762-2044
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
13038
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023267630
INDIVIDUAL NPI
MS
Enumeration date
09/12/2009
Last updated
09/12/2009
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