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Organization

GULF COAST OB/GYN, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BECKY BUTLER (ASST OFFICE MANAGER)
(228) 769-1940
Entity
Organization

Contact information

Practice address
4507 HOSPITAL ST, PASCAGOULA, MS 39581-5336
(228) 769-1940
(228) 769-9231
Mailing address
4507 HOSPITAL ST, PASCAGOULA, MS 39581-5336
(228) 769-1940
(228) 769-9231

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09014392
MS
Enumeration date
03/09/2006
Last updated
07/21/2022
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