Organization
CHILDREN'S CENTER OF GULFPORT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM J. CARR JR. M.D. (PRESIDENT)
(228) 832-0414
Entity
Organization
Contact information
Practice address
15465 OAK LN, SUITE 100-F, GULFPORT, MS 39503-2663
(228) 832-0414
(228) 832-8227
Mailing address
15465 OAK LN, SUITE 100-F, GULFPORT, MS 39503-2663
(228) 832-0414
(228) 832-8227
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09014469
—
MS
Enumeration date
08/31/2006
Last updated
08/22/2020
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