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Organization

MS COASTAL SERVICES LLC

Active
Parent organization
MS COASTAL SERVICES LLC
Other names
MS Coastal Services LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
MS COASTAL SERVICES LLC
Authorized official
MRS. ALICIA GATZ RDMS (OWNER)
(816) 448-9515
Entity
Organization

Contact information

Practice address
4535B GAUTIER VANCLEAVE RD, GAUTIER, MS 39553-4810
(228) 641-9401
Mailing address
14805 BURRELL RD, VANCLEAVE, MS 39565-8483
(816) 448-9515

Taxonomy

Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary

Other

Enumeration date
05/10/2024
Last updated
05/10/2024
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