Organization
MISSISSIPPI COAST UROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD S DAVENPORT (CEO)
(228) 762-4483
Entity
Organization
Contact information
Practice address
2525 TELEPHONE RD, PASCAGOULA, MS 39567-3202
(228) 762-4483
(228) 769-0406
Mailing address
2525 TELEPHONE RD, PASCAGOULA, MS 39567-3202
(228) 762-4483
(228) 769-0406
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
13231
MS
Other
Enumeration date
08/11/2006
Last updated
10/28/2011
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