| NPI | 1063081461 |
|---|---|
| Doing Business As | GULF COAST HMA PHYSICIAN MANAGEMENT LLC |
| Doing Business As | GMCG GYNECOLOGY |
| Entity Type | Organization |
| Authorized Contact | JENNIFER L JACKSON Sr Dir Prov Enrollment & Onboarding 615-465-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2022-03-14 |