Organization
OCHSNER MISSISSIPPI, LLC
Active
Parent organization
OCHSNER MISSISSIPPI, LLC
Other names
Ochsner Pediatric Plastic Surgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
OCHSNER MISSISSIPPI, LLC
Authorized official
EDUARDO BENITEZ (DIRECTOR)
(504) 842-6933
Entity
Organization
Contact information
Practice address
421 S 28TH AVE STE 110, HATTIESBURG, MS 39401-7208
(504) 542-5338
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
Enumeration date
04/26/2019
Last updated
04/26/2019
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