Healthcare Provider Details

I. General information

NPI: 1124957444
Provider Name (Legal Business Name): OCEAN SPRINGS GASTROENTEROLOGY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 INDUSTRIAL PARK CIR
OCEAN SPRINGS MS
39564-5800
US

IV. Provider business mailing address

3890 BIENVILLE BLVD
OCEAN SPRINGS MS
39564-5803
US

V. Phone/Fax

Practice location:
  • Phone: 228-872-6290
  • Fax: 228-818-8535
Mailing address:
  • Phone: 228-872-6290
  • Fax: 228-818-8535

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0800X
TaxonomyEndoscopy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ALFRED E MCNAIR JR.
Title or Position: CEO/DIRECTOR
Credential: MD
Phone: 228-872-6290