| NPI | 1942704838 |
|---|---|
| Doing Business As | GULFSOUTH CRITICAL CARE LLC |
| Entity Type | Organization |
| Authorized Contact | BRANDI WILLIS-OGDEN Billing / Credentialing Manager 985-400-5988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2018-03-23 |