Individual
DR. PATRICK CONRAD MCGUIRE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7001 HIGHWAY 614, MOSS POINT, MS 39562-6483
(228) 588-6622
Mailing address
2101 HIGHWAY 90, GAUTIER, MS 39553-5340
(228) 497-7576
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19221
MS
207R00000X
Internal Medicine Physician
22832
AL
208000000X
Pediatrics Physician
19221
MS
208000000X
Pediatrics Physician
22832
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00121432
—
MS
Enumeration date
08/15/2006
Last updated
05/27/2021
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