Organization
WOODLAND CLINIC LLC
Active
Other names
WOODLAND CLINIC LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY SULLIVAN (OWNER)
(662) 456-0111
Entity
Organization
Contact information
Practice address
120 MARKET ST, WOODLAND, MS 39776-9104
(662) 456-0111
(662) 456-7335
Mailing address
PO BOX 186, WOODLAND, MS 39776-0186
(662) 456-0111
(662) 456-7335
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0112415
—
MS
05
—
0114346
—
MS
05
—
09014809
—
MS
Enumeration date
05/10/2007
Last updated
01/29/2011
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