Centerwell Senior Primary Care Ms PC
NPI #1003528092 in Gulfport, Mississippi
Provider Information
- NPI Number
- 1003528092
- Entity Type
- Organization
- Organization Name
- Centerwell Senior Primary Care Ms PC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CENTERWELL SENIOR PRIMARY CARE MS PC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Dec 21, 2022
- Last Updated
- Jul 3, 2024
Practice Location
- Address
- 12057 HIGHWAY 49 STE C
- City
- Gulfport
- State
- Mississippi
- ZIP Code
- 39503-3177
- Phone
- (228) 832-9385
Authorized Official
- Name
- ANGIE MARTINEZ
- Title
- SENIOR CREDENTIALING PROFESSIONAL
- Phone
- (407) 447-7120
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| General Practice |
| Internal Medicine |
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