Garden Park Physician Services Corp.

NPI #1942392386 in Gulfport, Mississippi

Provider Information

NPI Number: 1942392386
Entity Type: Organization
Organization Name: Garden Park Physician Services Corp.
Primary Specialty: Midwife
Enumeration Date: Sep 29, 2006
Last Updated: Apr 20, 2008

Practice Location

Address: 15190 COMMUNITY RD
Address 2: SUITE 330
City: Gulfport
State: Mississippi
ZIP Code: 39503-3485
Phone: (228) 832-3075

Authorized Official

Name: ROBERT LEGESSE
Title: VICE PRESIDENT
Phone: (615) 373-7630

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Midwife	176B00000X	Primary

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