DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GULF COAST INTERVENTIONAL PAIN MANAGEMENT CLINIC, INC

Active Organization

Point of Service · GULFPORT, MS

Registration Details

NPI Number
1184049561
Provider Type
Organization
NPI Issued
Feb 21, 2014 (12.164569938806 yrs)
Last Updated
Feb 21, 2014
Licenses
BM8022149 (MS)
18456 (MS)

Practice Information

Address
11010 DAVID ST
SUITE B
GULFPORT, MS, 395033481
Browse MS providers · Browse ZIP 39503
Phone
2282841642
Fax
2282841643
Primary Specialty
Point of Service
305S00000X
Additional Specialty
Point of Service
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.