Organization
GULF COAST LIFE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIN ADAM DEWITT M.D. (PHYSICIAN)
(228) 255-8818
Entity
Organization
Contact information
Practice address
4405 E ALOHA DR, DIAMONDHEAD, MS 39525-3380
(228) 255-8818
(228) 255-8820
Mailing address
4405 E ALOHA DR, DIAMONDHEAD, MS 39525-3380
(228) 255-8818
(228) 255-8820
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/07/2015
Last updated
05/07/2015
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