Gulf Coast Dermatology, PA

NPI #1376532788 in Gulfport, Mississippi

Provider Information

NPI Number
1376532788
Entity Type
Organization
Organization Name
Gulf Coast Dermatology, PA
Primary Specialty
Dermatology
Enumeration Date
Oct 18, 2005
Last Updated
Aug 20, 2009

Practice Location

Address
1304 44TH AVE
ZIP Code
39501-2552
Phone
(228) 868-4006

Authorized Official

Name
GWENDOLYN A CRANE, M.D.
Title
PHYSICIAN
Phone
(228) 868-4006

Specialties & Taxonomy Codes

Specialty
Dermatology

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