OrganizationActive
Coastal Chronic Pain Services, PLLC
NPI 1134214331 · Pain Medicine (Anesthesiology) Physician · Gulfport, MS
Provider details
- NPI number
- 1134214331
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Gulfport Anesthesia Services, P.A.
- Organization subpart
- Yes
- Authorized official
- Diane Schultz, Director(228) 831-0204
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
15190 Community Rd Ste 230b
Gulfport, MS 39503-3483
Phone: (228) 831-0050
Fax: (228) 831-1121
Approximate (ZIP-level) locationGet directions
Mailing address
15190 Community Rd Ste 230b
Gulfport, MS 39503-3483
Additional practice locations (1)
- 3017 13th StGulfport, MS 39501-1833Phone: (228) 831-9343
Registry dates
- Enumerated
- 2006-10-04
- Last updated
- 2018-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.