Organization
CHILDREN'S CLINIC OF OCEAN SPRINGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE DAVID FAIN M.D. (DOCTOR/OWNER)
(228) 875-1184
Entity
Organization
Contact information
Practice address
1 MARKS RD, OCEAN SPRINGS, MS 39564-4351
(228) 875-1184
(228) 875-5890
Mailing address
1 MARKS RD, OCEAN SPRINGS, MS 39564-4351
(228) 875-1184
(228) 875-5890
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
09296M
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015386
—
MS
Enumeration date
11/03/2015
Last updated
11/03/2015
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