Organization
GULFPORT OBGYN CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYDNEY GRUICH (OFFICE MANAGER)
(228) 863-9977
Entity
Organization
Contact information
Practice address
4502 OLD PASS RD, GULFPORT, MS 39501-2585
(228) 863-9977
(228) 863-9912
Mailing address
4502 OLD PASS RD, GULFPORT, MS 39501-2585
(228) 863-9977
(228) 863-9912
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/29/2024
Last updated
07/30/2024
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