Individual
DR. FLEETWOOD LOUSTALOT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, NP-C, PHD
Contact information
Practice address
4770 BUFORD HWY, ATLANTA, GA 30341-3717
(770) 488-5198
Mailing address
2 LAKEVIEW CV, HATTIESBURG, MS 39402-8528
(601) 264-2657
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R864143
MS
363LF0000X
Family Nurse Practitioner
Primary
RN206938
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0126734
—
MS
01
—
206938
LICENSE
GA
01
—
R864143
LICENSE NUMBER
MS
Enumeration date
05/04/2006
Last updated
10/09/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us