Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
LUCEDALE FAMILY MEDICAL CLINIC
Active
Organization
LUCEDALE FAMILY MEDICAL CLINIC
Active
Other names
Lucedale Family Medical Clinic, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGOT PETERS (BILLING DIRECTOR)
(251) 445-7618
Entity
Organization
Contact information
Practice address
223 WINTER ST STE D, LUCEDALE, MS 39452-6078
(601) 791-5012
(601) 791-5013
Mailing address
6577 CREEL RD, THEODORE, AL 36582-3857
(251) 725-8455
(251) 445-3722
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/29/2023
Last updated
05/10/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers