| Ocmc Pediatric Orthopedics | |
|
7730 Old Canton Rd Madison MS 39110-9299 | |
| (504) 842-3970 | |
| (504) 842-6784 |
| Full Name | Ocmc Pediatric Orthopedics |
|---|---|
| Speciality | Internal Medicine |
| Location | 7730 Old Canton Rd, Madison, 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 |
|---|---|
| Ocmc Pediatric Orthopedics 1514 Jefferson Hwy New Orleans LA 70121-2429 Ph: (504) 842-4000 | Ocmc Pediatric Orthopedics 7730 Old Canton Rd Madison MS 39110-9299 Ph: (504) 842-3970 |
| NPI Number | 1891290243 |
|---|---|
| Provider Enumeration Date | 03/28/2018 |
| Last Update Date | 07/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891290243 | NPI | - | NPPES |
| 09627255 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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