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1770693012
GULF SHORE DERMATOLOGY, PLLC
OCEAN SPRINGS, MS
NPI
1770693012
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Entity Type
Organization
Authorized Contact
ERIC TORP
Physician
228-818-1850
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: MS 14315)
Enumeration Date
2006-08-30
Last Update Date
2011-08-15
Business Address
GULF SHORE DERMATOLOGY, PLLC
2112 BIENVILLE BLVD SUITE F1
OCEAN SPRINGS, MS 39564-3052
Phone number: 228-818-1850
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Mailing Address
GULF SHORE DERMATOLOGY, PLLC
1304 44TH AVE
GULFPORT, MS 39501-2552
Phone number: 228-868-4006
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