ASA LLC

GULFPORT, MS
NPI1558897744
Entity TypeOrganization
Authorized ContactROBERT LEE GILLUM
Surgical Assistant
228-343-3044
Organization Subpart ?No
Primary Taxonomy261QM1300X Clinic/Center Multi-Specialty
Enumeration Date2017-05-07
Last Update Date2017-05-07
Business Address
ASA LLC
1924 30TH AVE
GULFPORT, MS 39501-4534
Phone number: 228-343-3044
Mailing Address
ASA LLC
1924 30TH AVE
GULFPORT, MS 39501-4534
Phone number: 228-343-3044
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