Organization
GULF COAST INTERVENTIONAL PAIN MANAGEMENT CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN X. MEI M.D. (PHYSICIAN)
(228) 284-1642
Entity
Organization
Contact information
Practice address
15164 DEDEAUX RD STE B, GULFPORT, MS 39503-3124
(228) 284-1642
(228) 284-1643
Mailing address
15164 DEDEAUX RD STE B, GULFPORT, MS 39503-3124
(228) 284-1642
(228) 284-1643
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
18456
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407912223
NPI
MS
Enumeration date
09/24/2012
Last updated
05/11/2018
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