Organization
GULF COAST WOUND ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN GILL DO (PHYSICIAN)
(228) 236-4066
Entity
Organization
Contact information
Practice address
5427 GEX RD, DIAMONDHEAD, MS 39525-3208
(228) 255-4832
Mailing address
PO BOX 6705, GULFPORT, MS 39506-6705
(228) 865-1330
(228) 865-1331
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
—
—
Other
Enumeration date
11/13/2021
Last updated
01/25/2024
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