NPI 1093780959

Gulf Coast Plastic Surgery

Organisation Plastic Surgery Physician Gulfport, MS

Practice location

Address: 1133 45th Ave, Gulfport, MS 39501-2564
Phone: (228) 865-7299
Mailing address: PO Box 366, Gulfport, MS 39502-0366

Authorised official

Name: Eric J Wyble
Title: Owner MD
Phone: (228) 865-7299

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 12046 (MS)

Other Plastic Surgery providers in Mississippi →

Registry record

NPI: 1093780959
Entity type: Organization
NPI issued: 22 Feb 2006
Record last updated: 30 Oct 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.