Organization
UNIVERSITY OF SOUTHERN MISSISSIPPI
Active
Other names
Gulf Park Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWANDA BASKIN PHD, FNP-C (DIRECTOR)
(601) 266-6081
Entity
Organization
Contact information
Practice address
117 BEACH PARK PL, LONG BEACH, MS 39560-6223
(228) 214-3300
Mailing address
117 BEACH PARK PL, LONG BEACH, MS 39560-6223
(228) 214-3300
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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