# NORTH PLANTATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mindful Matters
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639620560
- **Authorized official:** DR. BRIAN ANDREW HAMMOCK M.D. (OWNER)
- **Authorized official phone:** (228) 284-4651

## Contact information

- **Practice address:** 1613 23RD AVENUE, GULFPORT, MS 39501
- **Practice address phone:** (228) 284-4651
- **Practice address fax:** (228) 284-4636
- **Mailing address:** 1613 23RD AVENUE, GULFPORT, MS 39501
- **Mailing address phone:** (228) 224-4651
- **Mailing address fax:** (228) 284-4636

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 21689 | MS | Yes |

## Other

- **Enumeration date:** 10/15/2016
- **Last updated:** 07/21/2022
