# GARDEN PARK PHYSICIAN GROUP INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285660688
- **Authorized official:** MR. LOUIS R. JOSEPH (VP)
- **Authorized official phone:** (615) 373-7600

## Contact information

- **Practice address:** 416 E PASS RD, GULFPORT, MS 39507-3236
- **Practice address phone:** (228) 896-6505
- **Practice address fax:** (228) 896-6509
- **Mailing address:** 3 MARYLAND FARMS, SUITE 250, BRENTWOOD, TN 37027-5005
- **Mailing address phone:** (615) 373-7600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 367A00000X | Advanced Practice Midwife | — | NULL | — |
| 367A00000X | Advanced Practice Midwife | — | — | — |

## Other

- **Enumeration date:** 06/25/2006
- **Last updated:** 03/15/2013