PRIMARY CARE MEDICAL CENTER OF GULFPORT PLLC NPI 1427271840

NPI Information

PRIMARY CARE MEDICAL CENTER OF GULFPORT, PLLC is a family medicine in Gulfport, MS. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PRIMARY CARE MEDICAL CENTER OF GULFPORT, PLLC NPI is 1427271840. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

15444 DEDEAUX RD
STE. B
GULFPORT, MS
ZIP 39503-637
Phone: (228) 832-9038
Fax: (228) 832-9990

The provider's authorized official is Angela V Mcclure .
The authorized official title is Insurance Clerk and has the following contact phone number (228) 832-9038.

The enumeration date for this NPI number is 4/11/2007 and was last updated on 7/13/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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