Organization
GRAND BAY MEDICAL CENTER, INC.
Active
Organization
GRAND BAY MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG SHOEMAKER (ASSOC. ADMIN. OF BUS. DEVELOPMENT)
(228) 497-7909
Entity
Organization
Contact information
Practice address
10075 GRAND BAY WILMER RD S, GRAND BAY, AL 36541-5003
(251) 865-9111
Mailing address
2012 HIGHWAY 90, SUITE 34, GAUTIER, MS 39553-5306
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/22/2007
Last updated
03/30/2009
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