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Organization

OCHSNER MISSISSIPPI, LLC

Active
Parent organization
OCHSNER MISSISSIPPI, LLC
Other names
Ochsner Health Center - Shepherd Square
Organization subpart
Yes

Provider details

NPI number
Legal business name
OCHSNER MISSISSIPPI, LLC
Authorized official
RICHARD JOINT (DIRECTOR)
(504) 703-4127
Entity
Organization

Contact information

Practice address
4550 SHEPHERD SQ, DIAMONDHEAD, MS 39525-3325
(228) 255-8216
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09627255
MS
Enumeration date
04/06/2018
Last updated
04/06/2018
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