Gautier Family Clinic, LLC
NPI #1942962816 in Gautier, Mississippi
Provider Information
- NPI Number
- 1942962816
- Entity Type
- Organization
- Organization Name
- Gautier Family Clinic, LLC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Oct 8, 2021
- Last Updated
- Oct 8, 2021
Practice Location
- Address
- 4533B GAUTIER VANCLEAVE RD
- City
- Gautier
- State
- Mississippi
- ZIP Code
- 39553
- Phone
- (228) 202-5924
Authorized Official
- Name
- LAURA R. BOLEWARE, FNP
- Title
- OWNER
- Phone
- (601) 800-8580
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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