Individual
DR. JOHN L.M. WADDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5900
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5900
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
27721
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00774066
—
MS
01
—
P01687365
RR MEDICARE
MS
Enumeration date
09/21/2010
Last updated
05/06/2023
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