Organization
GULF COAST PSYCHIATRIC CARE
Active
Parent organization
GULF COAST PSYCHIATRIC CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
GULF COAST PSYCHIATRIC CARE
Authorized official
SERA K COX MD (OWNER)
(228) 696-9224
Entity
Organization
Contact information
Practice address
421 DELMAS AVE, PASCAGOULA, MS 39567-4136
(228) 696-9224
(228) 696-9228
Mailing address
421 DELMAS AVE, PASCAGOULA, MS 39567-4136
(228) 696-9224
(228) 696-9228
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
19819
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01708228
—
MS
01
—
09734214
MEDICAID GROUP NUMBER
MS
01
—
427578364
BCBS
MS
Enumeration date
10/18/2007
Last updated
10/13/2008
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