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Organization

COAST PHYSICIANS GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. NATWASSIE TRULY NP (ADMIN)
(601) 832-5548
Entity
Organization

Contact information

Practice address
1408 HIGHWAY 90 STE 6, GAUTIER, MS 39553-5456
(228) 471-5217
(228) 471-5217
Mailing address
1408 HIGHWAY 90 STE 6, GAUTIER, MS 39553-5456
(228) 471-5217
(228) 471-5217

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Enumeration date
06/03/2025
Last updated
06/03/2025
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