| NPI | 1992728158 |
|---|---|
| Doing Business As | GAUTIER MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | RICK D HOOVER Physician Owner 228-497-2652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2020-08-22 |