Provider Demographics
NPI:1154773646
Name:G & M HEALTHCARE MANAGEMENT, LLC
Entity type:Organization
Organization Name:G & M HEALTHCARE MANAGEMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:VERONICE
Authorized Official - Middle Name:RENEE'
Authorized Official - Last Name:GANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:228-326-8059
Mailing Address - Street 1:5799 SOUTHLAND DR
Mailing Address - Street 2:#7103
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36693-3397
Mailing Address - Country:US
Mailing Address - Phone:251-408-9574
Mailing Address - Fax:251-345-4194
Practice Address - Street 1:5799 SOUTHLAND DR
Practice Address - Street 2:#7103
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36693-3397
Practice Address - Country:US
Practice Address - Phone:251-408-9574
Practice Address - Fax:251-345-4194
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-07
Last Update Date:2016-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL104034251B00000X
MS1087186251B00000X
TX802412348251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management