NPI 1477530657

Gulfport Obstetrical & Gynecological Clinic, PA

Organisation Case Management Agency Gulfport, MS

Practice location

Address: 4502 Old Pass Rd, Gulfport, MS 39501-2585
Phone: (228) 863-9977
Fax: (228) 822-2174

Authorised official

Name: David P Burkart
Title: Administrator
Phone: (228) 863-9977

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X Licence 82612 (MS)

Other Case Management providers in Mississippi →

Registry record

NPI: 1477530657
Entity type: Organization
NPI issued: 28 Dec 2005
Record last updated: 22 Aug 2020

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.