Organization
OCHSNER MISSISSIPPI, LLC
Active
Parent organization
OCHSNER MISSISSIPPI, LLC
Other names
OCMC Pediatric Orthopedics
Organization subpart
Yes
Provider details
NPI number
Legal business name
OCHSNER MISSISSIPPI, LLC
Authorized official
EDUARDO BENITEZ (DIRECTOR)
(504) 430-0025
Entity
Organization
Contact information
Practice address
7730 OLD CANTON RD, MADISON, MS 39110-9299
(504) 842-3970
(504) 842-6784
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
(504) 842-6997
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09627255
—
MS
Enumeration date
03/28/2018
Last updated
07/07/2022
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