Organization
GULF MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL D SHEPHERD (CLINIC MANAGER)
(228) 374-1894
Entity
Organization
Contact information
Practice address
15012 LEMOYNE BLVD, BILOXI, MS 39532-5205
(228) 374-1894
(228) 374-9675
Mailing address
15012 LEMOYNE BLVD, BILOXI, MS 39532-5205
(228) 374-1894
(228) 374-9675
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17226
MS
Other
Enumeration date
02/21/2007
Last updated
08/22/2020
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