Organization
NEW GULF COAST SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMI C. ADAMS (CREDENTIALING SPECIALIST)
(228) 818-5521
Entity
Organization
Contact information
Practice address
3882 BIENVILLE BLVD, OCEAN SPRINGS, MS 39564-5803
(228) 872-6290
Mailing address
PO BOX 190, OCEAN SPRINGS, MS 39566-0190
(228) 872-6290
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
016
MS
Other
Enumeration date
01/15/2007
Last updated
11/16/2016
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