OrganizationActive
Good Shepherd Medical/Dental Clinic
NPI 1770158339 · Specialty Pharmacy · Laurel, MS
Provider details
- NPI number
- 1770158339
- Entity type
- Organization
- Primary specialty
- Specialty PharmacySuppliers
- Organization subpart
- No
- Authorized official
- David Wolgamott, Office Manager(601) 426-2001
Specialties & taxonomies
Suppliers
Practice location
207 S 11th Ave
Laurel, MS 39440-4314
Phone: (601) 426-2001
Fax: (601) 426-2002
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2704
Laurel, MS 39442-2704
Other names (DBA / former)
- Doing business as
- Good Shepherd Clinic
Registry dates
- Enumerated
- 2021-05-25
- Last updated
- 2021-05-25
- Certified
- 2021-05-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.