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NPI 1477530657

OrganizationActive

Gulfport Obstetrical & Gynecological Clinic, PA

NPI 1477530657 · Case Management Agency · Gulfport, MS

Provider details

NPI number: 1477530657
Entity type: Organization
Primary specialty: Case Management AgencyAgencies
Authorized official: David Burkart, Administrator
License: 82612 (MS)

Practice location

4502 Old Pass Rd

Gulfport, MS 39501-2585

Phone: (228) 863-9977

Fax: (228) 822-2174

More MS providers

Mailing address

4502 Old Pass Rd

Gulfport, MS 39501-2585

Registry dates

Enumerated: 2005-12-28
Last updated: 2020-08-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Gulfport Obstetrical & Gynecological Clinic, PA — NPI 1477530657, Gulfport, MS | NPI Central