GULF COAST DERMATOLOGY, PA

GULFPORT, MS
NPI1376532788
Entity TypeOrganization
Authorized ContactGWENDOLYN A CRANE
Physician
228-868-4006
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
(Licence: MS  14316)
Enumeration Date2005-10-18
Last Update Date2009-08-20
Business Address
GULF COAST DERMATOLOGY, PA
1304 44TH AVE
GULFPORT, MS 39501-2552
Phone number: 228-868-4006
Mailing Address
GULF COAST DERMATOLOGY, PA
1304 44TH AVE
GULFPORT, MS 39501-2552
Phone number: 228-868-4006