Individual
CLIFTON STORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
106 HIGHLAND WAY STE 103, MADISON, MS 39110-6930
(601) 200-4750
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(601) 200-4750
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15085
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08280845
—
MS
Enumeration date
04/24/2006
Last updated
04/03/2024
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