GARDEN PARK PHYSICIAN GROUP-SPECIALTY CARE, LLC

GULFPORT, MS
NPI1679668958
Entity TypeOrganization
Authorized ContactTODD CARLON
VP
816-508-4090
Organization Subpart ?No
Primary Taxonomy208600000X Surgery
Enumeration Date2006-10-04
Last Update Date2013-03-07
Business Address
GARDEN PARK PHYSICIAN GROUP-SPECIALTY CARE, LLC
15190 COMMUNITY RD SUITE 330
GULFPORT, MS 39503-3485
Phone number: 228-539-9100
Mailing Address
GARDEN PARK PHYSICIAN GROUP-SPECIALTY CARE, LLC
15190 COMMUNITY RD SUITE 330
GULFPORT, MS 39503-3485
Phone number: 228-539-9100