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Organization

GULF COAST PLASTIC & RECONSTRUCTIVE SURGERY, PLLC

Active
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Organization

GULF COAST PLASTIC & RECONSTRUCTIVE SURGERY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JIMMIE G RICHMOND (BILLING)
(228) 872-3993
Entity
Organization

Contact information

Practice address
4509 GIBSON RD, OCEAN SPRINGS, MS 39564-6026
(228) 872-3993
(228) 872-3992
Mailing address
4509 GIBSON RD, OCEAN SPRINGS, MS 39564-6026
(228) 872-3993
(228) 872-3992

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary

Other

Enumeration date
08/30/2006
Last updated
06/10/2014
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