Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gulf Coast Dermatology, PA

Organization Dermatology Physician · NPI 1376532788

Gulf Coast Dermatology, PA provides Dermatology Physician services in Gulfport, Mississippi. Licensed in Mississippi. Registered with an NPI since 2005.

Licensed in
MS
In the registry since
2005
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1304 44th Ave
Gulfport, MS 39501-2552 Not confirmed with CMS for 17 years — call before visiting
Phone: (228) 868-4006
Fax: (228) 868-9545
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 14316 (MS)

Record details

NPI number1376532788
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gwendolyn Crane — Physician · (228) 868-4006
NPI enumeratedOctober 18, 2005
Last updated in NPPESAugust 20, 2009
Mailing address1304 44th Ave, Gulfport, MS 39501-2552

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