Joseph L. Faison, M.D.

LBN: Garden Park Physician Services Corp
Joseph L. Faison, M.D. is an health care organization with primary practice located at 1924 30Th Ave , Gulfport MS 39501-4534. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Garden Park Physician Services Corp can be contacted via phone (228) 832-2004, or through Lagesse, Robert via phone (866) 653-0021.

Contact Information

Primary practice address
1924 30Th Ave Gulfport MS 39501-4534
Phone: (228) 832-2004
Fax: (228) 832-4093
Website:
Map and Directions
Authorized official contact:
Name: Lagesse, Robert
Phone: (866) 653-0021

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1881882405
LBN Legal business name Garden Park Physician Services Corp
DBA Doing business as Joseph L. Faison, M.D.
Authorized official Lagesse, Robert
Entity Organization
Organization subpart 1 No
Enumeration date Oct 9th, 2007
Last updated Oct 10th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881882405 NPPES
Mississippi Other J5628 RR MEDICARE
Mississippi MEDICAID 09016021 RR MEDICARE

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