| Ochsner Specialty Health Center - Madison | |
|
401 Baptist Dr Ste 301 Madison MS 39110-2012 | |
| (504) 842-5338 | |
| Not Available |
| Full Name | Ochsner Specialty Health Center - Madison |
|---|---|
| Speciality | Internal Medicine |
| Location | 401 Baptist Dr Ste 301, Madison, Mississippi |
| Authorized Official Name and Position | Vinson Prescott Smith (DIRECTOR) |
| Authorized Official Contact | 5048420371 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ochsner Specialty Health Center - Madison 1514 Jefferson Hwy New Orleans LA 70121-2429 Ph: (504) 842-4000 | Ochsner Specialty Health Center - Madison 401 Baptist Dr Ste 301 Madison MS 39110-2012 Ph: (504) 842-5338 |
| NPI Number | 1356836118 |
|---|---|
| Provider Enumeration Date | 06/25/2018 |
| Last Update Date | 06/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356836118 | NPI | - | NPPES |
| 09627255 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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