# MEDICAL CARE CENTER, PLLC

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

## Provider details

- **NPI number:** 1316168339
- **Authorized official:** JANUS KULPA M.D. (OWNER)
- **Authorized official phone:** (228) 875-1599

## Contact information

- **Practice address:** 3434 BIENVILLE BLVD, OCEAN SPRINGS, MS 39564-5732
- **Practice address phone:** (228) 875-1599
- **Practice address fax:** (228) 875-1124
- **Mailing address:** 3434 BIENVILLE BLVD, OCEAN SPRINGS, MS 39564-5732
- **Mailing address phone:** (228) 875-1599
- **Mailing address fax:** (228) 875-1124

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | ME14877 | MS | Yes |
| 363A00000X | Physician Assistant | PA00086 | MS | — |

## Other

- **Enumeration date:** 05/01/2007
- **Last updated:** 01/26/2010