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GARDEN PARK PHYSICIAN SERVICES CORP NPI 1881882405


NPI Information

NPI: 1881882405
Provider Name: GARDEN PARK PHYSICIAN SERVICES CORP

Doing Business As: JOSEPH L. FAISON, M.D.

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1924 30TH AVE
GULFPORT, MS
ZIP 39501
Phone: (228) 832-2004
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GARDEN PARK PHYSICIAN SERVICES CORP 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. GARDEN PARK PHYSICIAN SERVICES CORP NPI is 1881882405. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Joseph L. Faison, M.d..

The provider's business location address is:

1924 30TH AVE
GULFPORT, MS
ZIP 39501-534
Phone: (228) 832-2004
Fax: (228) 832-4093

The provider's authorized official is Robert Lagesse .
The authorized official title is Vp and has the following contact phone number (866) 653-0021.

The enumeration date for this NPI number is 10/9/2007 and was last updated on 10/10/2007.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1J5628OTHERMISSISSIPPIRR MEDICARE
202318MEDICARE PINMISSISSIPPI
309016021MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.