Organization
PREVENTATIVE MEDICINE & PRIMARY CARE LLC
Active
Other names
Gautier Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICK D HOOVER DO (PHYSICIAN OWNER)
(228) 497-2652
Entity
Organization
Contact information
Practice address
3300 LADNIER RD, GAUTIER, MS 39553
(228) 497-2652
(228) 497-6253
Mailing address
3300 LADNIER RD, GAUTIER, MS 39553
(228) 497-2652
(228) 497-6253
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/26/2006
Last updated
08/22/2020
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