NPI 1942392386
Garden Park Physician Services Corp.
Practice location
- Address
- 15190 Community Rd Suite 330, Gulfport, MS 39503-3485
- Phone
- (228) 832-3075
- Fax
- (228) 832-9095
Authorised official
- Name
- Robert Legesse
- Title
- Vice President
- Phone
- (615) 373-7630
Registered specialties
Midwife
Primary
Registry record
- NPI
- 1942392386
- Entity type
- Organization
- NPI issued
- 29 Sep 2006
- Record last updated
- 20 Apr 2008
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.