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Preventative Medicine And Primary Care
Primary Care Clinic/Center in Gautier, Mississippi
NPI 1720402266

Preventative Medicine And Primary Care is a Primary Care Clinic/Center based in Gautier, MS and is specialized in Primary Care. Preventative Medicine And Primary Care practices in Gautier, MS. The NPI Number for Preventative Medicine And Primary Care is 1720402266 and holds a License No. 15373 (Mississippi).

The current practice location address for Preventative Medicine And Primary Care is 3300 Ladnier Rd, Gautier, MS and can be reached out via phone at 228-497-2652.

Location: 3300 Ladnier Rd, Gautier, MS, 39553-5909
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720402266
Provider Name
Preventative Medicine And Primary Care
Credential
Provider Entity Type
Organization
Address
3300 Ladnier Rd, Gautier, MS, 39553-5909
Phone Number
228-497-2652
Fax Number
Provider Enumeration Date
02/04/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00118337 05 MS
institution
Provider Business Practice Location Address Details
Address
3300 Ladnier Rd
City
Gautier
State
Mississippi
Zip
39553-5909
Phone Number
228-497-2652
Fax Number
person
Provider Business Mailing Address Details
Address
3300 Ladnier Rd
City
Gautier
State
Mississippi
Zip
39553-5909
Phone Number
228-497-2652
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
15373 (Mississippi)
Definition
Definition to come...
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