Organization
FAMILY CLINIC,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENE DAVID MCNALLY M.D., M.P.H. (OWNER)
(228) 896-5195
Entity
Organization
Contact information
Practice address
350 COWAN RD, GULFPORT, MS 39507-2008
(228) 896-5195
(228) 897-2395
Mailing address
350 COWAN RD, GULFPORT, MS 39507-2008
(228) 896-5195
(228) 897-2395
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
11462
MS
Other
Enumeration date
09/05/2008
Last updated
07/19/2013
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