| Ochsner Mississippi, Llc | |
|
421 S 28th Ave Ste 110 Hattiesburg MS 39401-7208 | |
| (504) 542-5338 | |
| Not Available |
| Full Name | Ochsner Mississippi, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 421 S 28th Ave Ste 110, Hattiesburg, Mississippi |
| Authorized Official Name and Position | Eduardo Benitez (DIRECTOR) |
| Authorized Official Contact | 5048426933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ochsner Mississippi, Llc 1514 Jefferson Hwy New Orleans LA 70121-2429 Ph: (504) 842-4000 | Ochsner Mississippi, Llc 421 S 28th Ave Ste 110 Hattiesburg MS 39401-7208 Ph: (504) 542-5338 |
| NPI Number | 1568026425 |
|---|---|
| Provider Enumeration Date | 04/26/2019 |
| Last Update Date | 04/26/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568026425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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