Individual
LASALLE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
606 WALNUT ST, PORT GIBSON, MS 39150-2140
(601) 529-0527
Mailing address
606 WALNUT ST, PORT GIBSON, MS 39150-2140
(601) 529-0527
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
MS
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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