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Contact Information

GARDEN PARK PHYSICIAN SERVICES CORP
12330 ASHLEY DR
GULFPORT, MS39503-2737
 Phone: 228-863-7117
 Fax: 228-868-9388
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for GARDEN PARK PHYSICIAN SERVICES CORP

NPI Number 1871523423
LBN Legal business name GARDEN PARK PHYSICIAN SERVICES CORP
Authorized official ROBERT LAGESSE - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/03/2006
Last updated 10/10/2007 - About 19 years ago
Identifiers
MS Medicaid 09016019
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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