Organization
COAST NEUROLOGY AND WELLNESS CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULI PUCHEU (OFFICE MANAGER)
(228) 436-1649
Entity
Organization
Contact information
Practice address
1903 PASS RD STE A, BILOXI, MS 39531-4120
(228) 436-1649
(228) 436-1664
Mailing address
1903 PASS RD STE A, BILOXI, MS 39531-4120
(228) 436-1649
(228) 436-1664
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
01/30/2019
Last updated
03/06/2019
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