Pascagoula Family Practice Clinic Pllc

NPI #1134155732 in Pascagoula, Mississippi

Provider Information

NPI Number
1134155732
Entity Type
Organization
Organization Name
Pascagoula Family Practice Clinic Pllc
Primary Specialty
Family Medicine
Enumeration Date
Jun 24, 2006
Last Updated
Jan 28, 2011

Practice Location

Address
STE 202
Address 2
4211 HOSPITAL STREET
ZIP Code
39581-5310
Phone
(228) 762-3466

Authorized Official

Name
GARY HENRY GROFF, M.D.
Title
PARTNER
Phone
(228) 762-3466

Specialties & Taxonomy Codes

Specialty
Family Medicine

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