Organization
GULF COAST SPINAL & NEUROSURGICAL SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY MONDAY (BILLING ADMIN)
(601) 296-2552
Entity
Organization
Contact information
Practice address
1340 BROAD AVE, SUITE 440, GULFPORT, MS 39501-2404
(228) 822-2117
Mailing address
PO BOX 17708, HATTIESBURG, MS 39404-7708
(601) 296-2552
(601) 296-2397
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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