Organization
COAST CARDIOVASCULAR CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA HAILEY (ADMIN MANAGER)
(228) 392-7429
Entity
Organization
Contact information
Practice address
1391 BROAD AVE, GULFPORT, MS 39501-2419
(228) 863-8868
(228) 863-8956
Mailing address
1720A MEDICAL PARK DR, SUITE 340, BILOXI, MS 39532-2129
(228) 392-7429
(228) 396-3830
Taxonomy
Speciality
Code
Description
License number
State
364SA2100X
Acute Care Clinical Nurse Specialist
Primary
R875526
MS
Other
Enumeration date
07/08/2014
Last updated
07/08/2014
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