Organization
GULF COAST CHILDREN'S CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OBAID A SIDDIQUI M.D. (PRESIDENT)
(228) 875-0780
Entity
Organization
Contact information
Practice address
3650 GROVELAND RD, OCEAN SPRINGS, MS 39564-5753
(228) 875-0780
(228) 875-1009
Mailing address
3650 GROVELAND RD, OCEAN SPRINGS, MS 39564-5753
(228) 875-0780
(228) 875-1009
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/01/2007
Last updated
09/04/2014
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