Organization
THE PEDZ CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI FEWELL PNP-PC (PEDIATRIC NURSE PRACTITIONER)
(601) 439-7221
Entity
Organization
Contact information
Practice address
610 3RD ST SW, MAGEE, MS 39111-3994
(601) 439-7221
(601) 439-7193
Mailing address
610 3RD ST SW, MAGEE, MS 39111-3994
(601) 439-7221
(601) 439-7193
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R879688
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04038362
—
MS
05
—
1154684363
—
MS
Enumeration date
12/22/2017
Last updated
08/07/2019
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