Organization · Type 2 NPI

Gulf Coast Interventional Pain Management Clinic, Inc.

Pain Medicine (Anesthesiology) Physician · Gulfport, MS

NPI number 1700137205 Active

Practice location

15164 Dedeaux Rd Ste B
Gulfport, MS 39503-3124

Fax (228) 284-1643

Specialties and licenses

TaxonomyCodeLicense
Pain Medicine (Anesthesiology) Physician Primary 207LP2900X18456 (MS)

Pain Medicine (Anesthesiology) Physician: An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

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About NPI 1700137205

Gulf Coast Interventional Pain Management Clinic, Inc.'s National Provider Identifier is 1700137205, issued on Sep 24, 2012. The primary taxonomy on file is Pain Medicine (Anesthesiology) Physician (207LP2900X), and the practice location is in Gulfport, MS. The record was last updated on May 11, 2018.