Organization
OCHSNER MISSISSIPPI, LLC
Active
Parent organization
OCHSNER MISSISSIPPI, LLC
Other names
Ochsner Specialty Health Center - Madison
Organization subpart
Yes
Provider details
NPI number
Legal business name
OCHSNER MISSISSIPPI, LLC
Authorized official
VINSON PRESCOTT SMITH (DIRECTOR)
(504) 842-0371
Entity
Organization
Contact information
Practice address
401 BAPTIST DR STE 301, MADISON, MS 39110-2012
(504) 842-5338
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
06/25/2018
Last updated
06/25/2018
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