Type 2 organization · NPI 1003528092
CENTERWELL SENIOR PRIMARY CARE MS PC
207R00000X · GULFPORT, MS
Why this profile is appearing now
Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 207R00000X | 207R00000X | Primary |
| 207Q00000X | 207Q00000X | Additional |
| 208D00000X | 208D00000X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s