OrganizationActive
Coastal Preventative Medicine, LLC
NPI 1699067959 · Primary Care Clinic/Center · Gautier, MS
Provider details
- NPI number
- 1699067959
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Barry Monday, Admin(601) 296-2552
Specialties & taxonomies
Ambulatory Health Care Facilities
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Practice location
3300 Ladnier Rd
Gautier, MS 39553-5909
Phone: (228) 497-2652
Fax: (228) 497-3667
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 17708
Hattiesburg, MS 39404-7708
Registry dates
- Enumerated
- 2011-05-04
- Last updated
- 2011-05-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.