Gulf Coast Children's Clinic, PA
NPI #1750571170 in Ocean Springs, Mississippi
Provider Information
- NPI Number
- 1750571170
- Entity Type
- Organization
- Organization Name
- Gulf Coast Children's Clinic, PA
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Aug 1, 2007
- Last Updated
- Sep 4, 2014
Practice Location
- Address
- 3650 GROVELAND RD
- City
- Ocean Springs
- State
- Mississippi
- ZIP Code
- 39564-5753
- Phone
- (228) 875-0780
Authorized Official
- Name
- OBAID A SIDDIQUI, M.D.
- Title
- PRESIDENT
- Phone
- (228) 875-0780
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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