Organization
COASTAL FAMILY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE DAWSEY (CEO)
(228) 374-2494
Entity
Organization
Contact information
Practice address
683 DIVISION ST, BILOXI, MS 39530-2213
(228) 374-4993
Mailing address
1046 DIVISION ST, BILOXI, MS 39530-2935
(228) 374-2494
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09013308
—
MS
Enumeration date
06/10/2008
Last updated
06/10/2008
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