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Contact Information

GARDEN PARK PHYSICIAN GROUP INC
416 E PASS RD
GULFPORT, MS39507-3236
 Phone: 228-896-6505
 Fax: 228-896-6509
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for GARDEN PARK PHYSICIAN GROUP INC

NPI Number 1285660688
LBN Legal business name GARDEN PARK PHYSICIAN GROUP INC
Authorized official LOUIS JOSEPH - (VP)
Entity Organization
Organization subpart 1 No
Enumeration date 06/25/2006
Last updated 03/15/2013 - About 13 years ago
Identifiers
AL Medicaid 1285660688
MS Medicaid 01622395
MS Medicaid 05826810
MS Medicaid 08838517
MS Medicaid 09016020
MS Medicaid 09016021
MS Medicaid 09106019
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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