Individual
JACK DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1065 E BROAD ST, MONTICELLO, MS 39654-7703
(601) 587-7115
Mailing address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3353
MS
Other
Enumeration date
10/05/2007
Last updated
04/07/2010
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