Organization
PATTON MEDICAL OF THE GULF COAST, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM KEITH WADE (VICE PRESIDENT)
(228) 872-8685
Entity
Organization
Contact information
Practice address
3002 BIENVILLE BLVD, OCEAN SPRINGS, MS 39564-4354
(228) 872-8685
Mailing address
3002 BIENVILLE BLVD, OCEAN SPRINGS, MS 39564-4354
(228) 872-8685
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MS
Other
Enumeration date
07/13/2005
Last updated
08/22/2020
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