NPI 1720402266

Preventative Medicine and Primary Care

Organisation Primary Care Clinic/Center Gautier, MS

Practice location

Address: 3300 Ladnier Rd, Gautier, MS 39553-5909
Phone: (228) 497-2652

Authorised official

Name: Rick Dean Hoover
Title: Owner
Phone: (228) 497-2652

Registered specialties

Primary Care Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2300X Licence 15373 (MS)

Other Clinic/Center providers in Mississippi →

Registry record

NPI: 1720402266
Entity type: Organization
NPI issued: 4 Feb 2014
Record last updated: 4 Feb 2014

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.