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Contact Information

COASTAL WOUND SPECIALISTS LLC
4500 13TH ST
GULFPORT, MS39501-2515
 Phone: 228-865-1330
 Fax: 228-865-1331
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Undersea and Hyperbaric Medicine

207PE0005X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for COASTAL WOUND SPECIALISTS LLC · (Female)

NPI Number 1336014612
Status Active
Credentials
Entity Individual
Enumeration date 10/07/2025
Last updated 10/07/2025 - About 8 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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