Organization
GULF COAST SURGICAL SPECIALISTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARAN JENNINGS MASON MD (OWNER)
(251) 463-0444
Entity
Organization
Contact information
Practice address
3715 DAUPHIN ST, BLDG 2, SUITE 7-B, MOBILE, AL 36608-1775
(251) 340-7880
(251) 340-7881
Mailing address
3715 DAUPHIN ST, BLDG 2, SUITE 7-B, MOBILE, AL 36608-1775
(251) 340-7880
(251) 340-7881
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
29026
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106150
—
AL
Enumeration date
12/08/2012
Last updated
12/13/2012
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