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

GULF COAST INTERVENTIONAL PAIN MANAGEMENT CLINIC, INC. is a Pain Medicine (Anesthesiology) organization located in GULFPORT, Mississippi. NPI 1700137205 is currently active in the NPPES registry. Verify at CMS.

Pain Medicine (Anesthesiology) · GULFPORT, MS

Registration Details

NPI Number
1700137205
Provider Type
Organization
NPI Issued
Sep 24, 2012 (13.882302270879 yrs)
Last Updated
May 11, 2018
License
18456 (MS)

Practice Information

Address
15164 DEDEAUX RD STE B
GULFPORT, MS, 395033124
Browse MS providers · Browse ZIP 39503
Phone
2282841642
Fax
2282841643
Primary Specialty
Pain Medicine (Anesthesiology)
207LP2900X

Other Pain Medicine (Anesthesiology) Organizations in GULFPORT, MS

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.