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Individual

DR. JOHN W DEGROOTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4211 HOSPITAL ST, SUITE 208, PASCAGOULA, MS 39581
(228) 762-5982
(228) 769-7698
Mailing address
PO BOX 1424, 4211 HOSPITAL ST SUITE 208, PASCAGOULA, MS 39567
(228) 762-5982
(228) 769-7698

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
06906
MS
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
06906
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00121974
MS
Enumeration date
10/04/2006
Last updated
05/17/2026
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