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Organization
GARDEN PARK PHYSICIAN SERVICES CORP
Active
Organization
GARDEN PARK PHYSICIAN SERVICES CORP
Active
Other names
Joseph L. Faison, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LAGESSE (VP)
(866) 653-0021
Entity
Organization
Contact information
Practice address
1924 30TH AVE, GULFPORT, MS 39501-4534
(228) 832-2004
(228) 832-4093
Mailing address
1924 30TH AVE, GULFPORT, MS 39501-4534
(228) 832-2004
(228) 832-4093
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/09/2007
Last updated
10/10/2007
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