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Organization

GULF COAST URGENT CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DEANNA NICHOLE BLACKMORE OM (DIRECTOR OF CLINIC OPERATIONS/ OM)
(228) 209-9788
Entity
Organization

Contact information

Practice address
1025 DIVISION ST STE D1, BILOXI, MS 39530-2906
(228) 382-4005
(228) 267-3594
Mailing address
1025 DIVISION ST STE D1, BILOXI, MS 39530-2906
(228) 382-4005
(228) 267-3594

Taxonomy

Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary

Other

Enumeration date
06/19/2023
Last updated
06/19/2023
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