Organization
JOHN W DEGROOTE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN W DEGROOTE M.D. (PHYSICIAN)
(228) 762-5982
Entity
Organization
Contact information
Practice address
4211 HOSPITAL ST, SUITE 103, PASCAGOULA, MS 39581-5320
(228) 762-5982
(228) 769-7698
Mailing address
4211 HOSPITAL ST, SUITE 103, PASCAGOULA, MS 39581-5320
(228) 762-5982
(228) 769-7698
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00885861
—
MS
Enumeration date
11/01/2007
Last updated
10/01/2015
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