Organization
ONE SOURCE OF THE GULF COAST INC.
Active
Organization
ONE SOURCE OF THE GULF COAST INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM K. WADE (V.P.)
(228) 875-3828
Entity
Organization
Contact information
Practice address
1903 SPRING HILL AVE, MOBILE, AL 36607-2303
(251) 459-8600
(251) 459-8601
Mailing address
3004 BIENVILLE BLVD STE 1, OCEAN SPRINGS, MS 39564-4370
(228) 875-3828
(228) 436-3580
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
08/15/2017
Last updated
07/30/2024
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