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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