Organization
COAST URGENT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MAYFIELD JENKINS (OWNER)
(228) 365-2363
Entity
Organization
Contact information
Practice address
179 REYNOIR ST, BILOXI, MS 39530-3831
(228) 365-2363
Mailing address
PO BOX 7311, DIBERVILLE, MS 39540-7201
(228) 365-2363
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
MS
Other
Enumeration date
01/22/2015
Last updated
01/22/2015
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