Gsw Medical, LLC

NPI #1336885557 in Gulfport, Mississippi

Provider Information

NPI Number: 1336885557
Entity Type: Organization
Organization Name: Gsw Medical, LLC
Primary Specialty: Internal Medicine
Enumeration Date: May 10, 2022
Last Updated: May 10, 2022

Practice Location

Address: 4500 13TH ST FL 3
City: Gulfport
State: Mississippi
ZIP Code: 39501-2515
Phone: (318) 341-2335

Authorized Official

Name: DR. JOHN NOLAN GRADY, MD
Title: MEMBER
Phone: (318) 341-2335

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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