Organization
RICHARD JOHN GORMAN MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA CARROLL (SECT)
(228) 436-1649
Entity
Organization
Contact information
Practice address
1903 PASS RD STE A, BILOXI, MS 39531-4103
(228) 436-1649
(228) 436-1664
Mailing address
1903 PASS RD STE A, BILOXI, MS 39531-4103
(228) 436-1649
(228) 436-1664
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
10158
MS
Other
Enumeration date
03/12/2018
Last updated
03/12/2018
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