GULFPORT SURGERY CLINIC is a specialist in Gulfport, MS. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. GULFPORT SURGERY CLINIC NPI is 1740291145. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1312 44TH AVE
GULFPORT, MS
ZIP 39501-552
Phone: (228) 822-6160
Fax: (228) 539-8327
The provider's authorized official is Thomas Paul Mace .
The authorized official title is Owner and has the following contact phone number (228) 822-6160.
The CLIA number assigned to this NPI record is 25D0976601 - school/student health service with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/10/2006 and was last updated on 6/11/2020.