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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