Individual
MATT K GATLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1340 BROAD AVE STE 300, GULFPORT, MS 39501-2404
(228) 575-2700
(228) 575-2710
Mailing address
1340 BROAD AVE STE 300, GULFPORT, MS 39501-2404
(228) 575-2700
(228) 575-2710
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
903251
MS
Other
Enumeration date
05/15/2019
Last updated
05/15/2019
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