# GULF COAST CHILDREN'S CLINIC, PA

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

## Provider details

- **NPI number:** 1750571170
- **Authorized official:** OBAID A SIDDIQUI M.D. (PRESIDENT)
- **Authorized official phone:** (228) 875-0780

## Contact information

- **Practice address:** 3650 GROVELAND RD, OCEAN SPRINGS, MS 39564-5753
- **Practice address phone:** (228) 875-0780
- **Practice address fax:** (228) 875-1009
- **Mailing address:** 3650 GROVELAND RD, OCEAN SPRINGS, MS 39564-5753
- **Mailing address phone:** (228) 875-0780
- **Mailing address fax:** (228) 875-1009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/01/2007
- **Last updated:** 09/04/2014