institution
Diabetes Clinic Of The Coast, Pllc
Family Nurse Practitioner in Gulfport, Mississippi
NPI 1538532221

Diabetes Clinic Of The Coast, Pllc is a Family Nurse Practitioner based in Pass Christian, MS and is specialized in Family. Diabetes Clinic Of The Coast, Pllc practices in Gulfport, MS. The NPI Number for Diabetes Clinic Of The Coast, Pllc is 1538532221 and holds a License No. R874839 (Mississippi).

The current practice location address for Diabetes Clinic Of The Coast, Pllc is 1110 Broad Ave, Gulfport, MS and can be reached out via phone at 228-220-1588 and via fax at 228-220-1581.

Location: 1110 Broad Ave, Gulfport, MS, 39571-0419
institution
Provider Profile Details
NPI Number
1538532221
Provider Name
Diabetes Clinic Of The Coast, Pllc
Credential
Provider Entity Type
Organization
Address
1110 Broad Ave, Gulfport, MS, 39571-0419
Phone Number
228-220-1588
Fax Number
228-220-1581
Provider Enumeration Date
11/04/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1285902841 01 MS NPI
institution
Provider Business Practice Location Address Details
Address
1110 Broad Ave
City
State
Zip
39501-8907
Phone Number
228-220-1588
Fax Number
228-220-1581
person
Provider Business Mailing Address Details
Address
1110 Broad Ave
City
State
Zip
39501-8907
Phone Number
228-220-1588
Fax Number
228-220-1581
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R874839 (Mississippi)
Definition
Definition to come...
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