| John W Degroote Pc | |
|
4211 Hospital St Suite 103 Pascagoula MS 39581-5320 | |
| (228) 762-5982 | |
| (228) 769-7698 |
| Full Name | John W Degroote Pc |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 4211 Hospital St, Pascagoula, Mississippi |
| Authorized Official Name and Position | John W Degroote (PHYSICIAN) |
| Authorized Official Contact | 2287625982 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John W Degroote Pc 4211 Hospital St Suite 103 Pascagoula MS 39581-5320 Ph: (228) 762-5982 | John W Degroote Pc 4211 Hospital St Suite 103 Pascagoula MS 39581-5320 Ph: (228) 762-5982 |
| NPI Number | 1437338985 |
|---|---|
| Provider Enumeration Date | 11/01/2007 |
| Last Update Date | 10/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437338985 | NPI | - | NPPES |
| 00885861 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
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