Organization
CHILDRENS CLINIC OF PASCAGOULA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALTAF JAMAL M. D. (DIRECTOR)
(228) 762-8712
Entity
Organization
Contact information
Practice address
4105 HOSPITAL ST, STE 103, PASCAGOULA, MS 39581-5312
(228) 762-8712
(228) 762-2261
Mailing address
4105 HOSPITAL ST, STE 103, PASCAGOULA, MS 39581-5312
(228) 762-8712
(228) 762-2261
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015404
—
MS
Enumeration date
07/12/2006
Last updated
08/22/2020
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