COASTAL PREVENTATIVE MEDICINE, LLC is a primary care clinic center in Gautier, MS. COASTAL PREVENTATIVE MEDICINE, LLC NPI is 1699067959. The provider is registered as an organization entity type.
The provider's business location address is:
3300 LADNIER RD
GAUTIER, MS
ZIP 39553-909
Phone: (228) 497-2652
Fax: (228) 497-3667
The provider's authorized official is Barry Monday .
The authorized official title is Admin and has the following contact phone number (601) 296-2552.
The enumeration date for this NPI number is 5/4/2011 and was last updated on 5/4/2011.