Organization
GULF COAST BRAIN & SPINE INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES R DOTY MD (NEUROSURGEON)
(228) 867-4856
Entity
Organization
Contact information
Practice address
1340 BROAD AVENUE, GULFPORT, MS 39501
(228) 867-4856
(228) 867-4857
Mailing address
1340 BROAD AVENUE, GULFPORT, MS 39501
(228) 867-4856
(228) 867-4857
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
18374
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08253741
—
MS
Enumeration date
10/06/2006
Last updated
08/22/2020
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