Organization · Type 2 NPI
Coastal Preventative Medicine, LLC
Primary Care Clinic/Center · Gautier, MS
NPI number
1699067959
Active
Practice location
3300 Ladnier Rd
Gautier, MS 39553-5909
Fax (228) 497-3667
Mailing address
PO Box 17708
Hattiesburg, MS 39404-7708
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
| Primary Care Clinic/Center | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
4 other providers at this address
- Monnica J Reyes, dba Gautier Medical ClinicFamily Nurse Practitioner Gautier, MS NPI 1184067084
- Preventative Medicine & Primary Care LLCFamily Medicine Physician Gautier, MS NPI 1992728158
- Preventative Medicine and Primary CarePrimary Care Clinic/Center Gautier, MS NPI 1720402266
- Rick D. Hoover, DOFamily Medicine Physician Gautier, MS NPI 1962493577
Other primary care clinic/center providers in Gautier
About NPI 1699067959
Coastal Preventative Medicine, LLC's National Provider Identifier is 1699067959, issued on May 4, 2011. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Gautier, MS. The record was last updated on May 4, 2011.