OrganizationActive
Gulfport Obgyn Clinic, LLC
NPI 1902635071 · Clinic/Center · Gulfport, MS
Provider details
- NPI number
- 1902635071
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sydney Gruich, Office Manager(228) 863-9977
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
4502 Old Pass Rd
Gulfport, MS 39501-2585
Phone: (228) 863-9977
Fax: (228) 863-9912
Approximate (ZIP-level) locationGet directions
Mailing address
4502 Old Pass Rd
Gulfport, MS 39501-2585
Registry dates
- Enumerated
- 2024-07-29
- Last updated
- 2024-07-30
- Certified
- 2024-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.