Organization
SOUTHAVEN INTERNAL MEDICINE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KANDIS P SLEDGE (OFFICE MANAGER)
(662) 349-1999
Entity
Organization
Contact information
Practice address
7680 AIRWAYS BLVD, SOUTHAVEN, MS 38671-5304
(662) 349-1999
(662) 349-9734
Mailing address
7680 AIRWAYS BLVD, SOUTHAVEN, MS 38671-5304
(662) 349-1999
(662) 349-9734
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015446
—
MS
Enumeration date
01/10/2007
Last updated
06/17/2010
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