Organization
OCHSNER MISSISSIPPI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDUARDO BENITEZ (DIRECTOR)
(504) 430-0025
Entity
Organization
Contact information
Practice address
149 DRINKWATER RD, BAY SAINT LOUIS, MS 39520-1658
(228) 220-5200
(228) 467-8799
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
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
12/05/2017
Last updated
05/21/2024
Update your record
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