Organization
PRODOX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA ALDERSON (BILLING MANAGER)
(800) 526-6797
Entity
Organization
Contact information
Practice address
1401 RIVER RD, GREENWOOD, MS 38930-4030
(800) 526-6797
Mailing address
1 INDIANA SQ STE 2060, INDIANAPOLIS, IN 46204-2020
(800) 526-6797
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08236597
—
MS
Enumeration date
02/17/2022
Last updated
02/17/2022
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