Organization
GULF COAST CHILDRENS CLINIC, PA
Active
Parent organization
GULF COAST CHILDRENS CLINIC, PA
Other names
Gulf Coast Childrens Clinic at Wiggins
Organization subpart
Yes
Provider details
NPI number
Legal business name
GULF COAST CHILDRENS CLINIC, PA
Authorized official
MEICHELLE HARVEY (ADMINISTRATOR)
(228) 875-0780
Entity
Organization
Contact information
Practice address
930 MAIN STREET SUITE A, WIGGNIS, MS 39564-0000
(228) 875-0780
(228) 875-1009
Mailing address
3650 GROVELAND RD, OCEAN SPRINGS, MS 39564-5754
(228) 875-0780
(228) 875-1009
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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