Individual
DR. REBECCA WALTERS LAUDERDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1101 S 28TH AVE STE D, HATTIESBURG, MS 39402-2610
(601) 296-2980
(601) 296-2975
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 296-2980
(601) 579-5463
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19683
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01224050
—
MS
01
—
9445059
AETNA
MS
Enumeration date
03/08/2007
Last updated
07/22/2020
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