Organization
GULF COAST IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM O HENRY MD (PRESIDENT)
(228) 314-7226
Entity
Organization
Contact information
Practice address
14245 DEDEAUX RD, GULFPORT, MS 39503-3369
(228) 314-7226
(228) 314-7227
Mailing address
PO BOX 2819, GULFPORT, MS 39505-2819
(228) 314-7226
(228) 314-7227
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03733573
—
MS
05
—
10410
—
MS
01
—
1154338879
DR DIANNA RAGULA
—
05
—
16169
—
MS
Enumeration date
07/27/2006
Last updated
01/24/2013
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