Coastal Preventative Medicine, LLC
NPI #1699067959 in Gautier, Mississippi
Provider Information
- NPI Number
- 1699067959
- Entity Type
- Organization
- Organization Name
- Coastal Preventative Medicine, LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- May 4, 2011
- Last Updated
- May 4, 2011
Practice Location
- Address
- 3300 LADNIER RD
- City
- Gautier
- State
- Mississippi
- ZIP Code
- 39553-5909
- Phone
- (228) 497-2652
Authorized Official
- Name
- MR. BARRY MONDAY
- Title
- ADMIN
- Phone
- (601) 296-2552
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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