Healthcare Provider Details

I. General information

NPI: 1780370866
Provider Name (Legal Business Name): PATRICK LEWIS GUIN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2023
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15012 LEMOYNE BLVD
BILOXI MS
39532-5205
US

IV. Provider business mailing address

15012 LEMOYNE BLVD
BILOXI MS
39532-5205
US

V. Phone/Fax

Practice location:
  • Phone: 228-392-5050
  • Fax: 228-392-5318
Mailing address:
  • Phone: 228-392-5050
  • Fax: 228-392-5318

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberL.3853
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberGUIN-DYMFDG
License Number StateMS
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberLL89764
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: