GULF COAST INTERVENTIONAL PAIN MANAGEMENT CLINIC, INC

GULFPORT, MS
NPI1184049561
Entity TypeOrganization
Authorized ContactSHAWN XUN MEI
Owner
228-284-1642
Organization Subpart ?No
Primary Taxonomy305S00000X Point of Service
(Licence: MS  18456)
Additional Taxonomies305S00000X Point of Service
(Licence: MS  BM8022149)
Enumeration Date2014-02-21
Last Update Date2014-02-21
Business Address
GULF COAST INTERVENTIONAL PAIN MANAGEMENT CLINIC, INC
11010 DAVID ST SUITE B
GULFPORT, MS 39503-3481
Phone number: 228-284-1642
Mailing Address
GULF COAST INTERVENTIONAL PAIN MANAGEMENT CLINIC, INC
11010 DAVID ST SUITE B
GULFPORT, MS 39503-3481
Phone number: 228-284-1642