Organization · Type 2 NPI
Gaddy Eye Clinic PLLC
Specialist · Gulfport, MS
NPI number
1679696769
Active
Practice location
10051 Lorraine Road, Suite A
Gulfport, MS 39503-6001
Fax (228) 539-4953
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 08343 (MS) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1679696769
Gaddy Eye Clinic PLLC's National Provider Identifier is 1679696769, issued on Apr 6, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Gulfport, MS. The record was last updated on Jun 16, 2011.