Individual
DR. MICHAEL GAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1220 JEFFERSON ST, LAUREL, MS 39440-4355
(601) 426-4000
(601) 399-6184
Mailing address
PO BOX 247, LAUREL, MS 39441-0247
(601) 426-4000
(601) 399-6184
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
27790
MS
390200000X
Student in an Organized Health Care Education/Training Program
TRN24785
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/30/2017
Last updated
08/03/2020
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