| Ochsner Mississippi, Llc | |
|
1839 Cooper Rd Ste 100 Picayune MS 39466-2836 | |
| (769) 242-1700 | |
| (769) 242-2148 |
| Full Name | Ochsner Mississippi, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1839 Cooper Rd Ste 100, Picayune, Mississippi |
| Authorized Official Name and Position | Eduardo Benitez (DIRECTOR) |
| Authorized Official Contact | 5044300025 |
| 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 1839 Cooper Rd Ste 100 Picayune MS 39466-2836 Ph: (769) 242-1700 |
| NPI Number | 1881296036 |
|---|---|
| Provider Enumeration Date | 11/12/2020 |
| Last Update Date | 11/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881296036 | NPI | - | NPPES |
| 09627255 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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