Organization
GULF COAST AUDIOLOGY, INC
Active
Parent organization
GULF COAST AUDIOLOGY, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
GULF COAST AUDIOLOGY, INC.
Authorized official
VICKIE G CRUSE AU.D. (PRESIDENT)
(228) 762-1980
Entity
Organization
Contact information
Practice address
2926 MARKET ST, PASCAGOULA, MS 39567-5163
(228) 762-1980
Mailing address
2926 MARKET ST, PASCAGOULA, MS 39567-5163
(228) 762-1980
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A3139
MS
Other
Enumeration date
10/28/2008
Last updated
09/07/2011
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