Organization
WALLEY CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELETHA JANE JENKINS (CEO)
(601) 735-2401
Entity
Organization
Contact information
Practice address
920 MATTHEW DR, STE A, WAYNESBORO, MS 39367-2567
(601) 735-2401
(601) 735-5205
Mailing address
920 MATTHEW DR, STE A, WAYNESBORO, MS 39367-2567
(601) 735-2401
(601) 735-5205
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09011779
—
MS
Enumeration date
10/31/2005
Last updated
02/27/2008
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