NPI 1639620560

North Plantation

Organisation Child & Adolescent Psychiatry Physician Gulfport, MS

Practice location

Address: 1613 23rd Avenue, Gulfport, MS 39501
Phone: (228) 284-4651
Fax: (228) 284-4636

Authorised official

Name: Brian Andrew Hammock
Title: Owner
Phone: (228) 284-4651

Registered specialties

Child & Adolescent Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0804X Licence 21689 (MS)

Other Psychiatry & Neurology providers in Mississippi →

Registry record

NPI: 1639620560
Entity type: Organization
NPI issued: 15 Oct 2016
Record last updated: 21 Jul 2022

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.