Organization
GULF COAST PLASTIC & RECONSTRUCTIVE SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMIE G RICHMOND (BILLING)
(228) 872-3993
Entity
Organization
Contact information
Practice address
4509 GIBSON RD, OCEAN SPRINGS, MS 39564-6026
(228) 872-3993
(228) 872-3992
Mailing address
4509 GIBSON RD, OCEAN SPRINGS, MS 39564-6026
(228) 872-3993
(228) 872-3992
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
08/30/2006
Last updated
06/10/2014
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