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COASTAL PREVENTATIVE MEDICINE, LLC

Organization (NPI-2) Active

Clinic/Center, Primary Care

Provider Information

NPI Number
1699067959
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
3300 LADNIER RD, GAUTIER, MS, 395535909
Phone
(228) 497-2652
Fax
(228) 497-3667

Specialties & Taxonomies

Clinic/Center, Primary Care License: MS
Clinic/Center, Primary Care Primary

All Addresses

MAILING

PO BOX 17708

HATTIESBURG, MS, 394047708

(601) 296-2552

LOCATION

3300 LADNIER RD

GAUTIER, MS, 395535909

(228) 497-2652