Organization
PASCAGOULA URGENT CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN SCOTT COOPER M.D. (OWNER)
(228) 762-2044
Entity
Organization
Contact information
Practice address
4305 DENNY AVE, PASCAGOULA, MS 39581-5509
(228) 762-2044
Mailing address
4305 DENNY AVE, PASCAGOULA, MS 39581-5509
(228) 762-2044
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
13038
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023267630
INDIVIDUAL NPI
MS
Enumeration date
09/12/2009
Last updated
09/12/2009
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