Organization
GULF COAST PEDIATRIC CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY HAMMOND (VICE PRESIDENT)
(251) 232-1518
Entity
Organization
Contact information
Practice address
1285 SPRING ST, GULFPORT, MS 39507-3423
(251) 232-1518
Mailing address
8178 SOLDIER CT, DAPHNE, AL 36526-6135
(251) 232-1518
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/20/2014
Last updated
05/20/2014
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