NPI 1699067959

Coastal Preventative Medicine, LLC

Organisation Primary Care Clinic/Center Gautier, MS

Practice location

Address: 3300 Ladnier Rd, Gautier, MS 39553-5909
Phone: (228) 497-2652
Fax: (228) 497-3667
Mailing address: PO Box 17708, Hattiesburg, MS 39404-7708

Authorised official

Name: Barry Monday
Title: Admin
Phone: (601) 296-2552

Registered specialties (2)

Primary Care Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2300X

Other Clinic/Center providers in Mississippi →

Primary Care Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QP2300X

Registry record

NPI: 1699067959
Entity type: Organization
NPI issued: 4 May 2011
Record last updated: 4 May 2011

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.