GULF COAST PLASTIC SURGERY

GULFPORT, MS
NPI1093780959
Entity TypeOrganization
Authorized ContactERIC J WYBLE
Owner Md
228-865-7299
Organization Subpart ?No
Primary Taxonomy208200000X Plastic Surgery
(Licence: MS  12046)
Enumeration Date2006-02-22
Last Update Date2009-10-30
Business Address
GULF COAST PLASTIC SURGERY
1133 45TH AVE
GULFPORT, MS 39501-2564
Phone number: 228-865-7299
Mailing Address
GULF COAST PLASTIC SURGERY
PO BOX 366
GULFPORT, MS 39502-0366
Phone number: 228-865-7299
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