Ochsner Mississippi, LLC

NPI #1639766132 in Gulfport, Mississippi

Provider Information

NPI Number: 1639766132
Entity Type: Organization
Organization Name: Ochsner Mississippi, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: OCHSNER MISSISSIPPI, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Dec 30, 2020
Last Updated: Dec 30, 2020

Practice Location

Address: 4502 OLD PASS RD
City: Gulfport
State: Mississippi
ZIP Code: 39501-2585
Phone: (228) 863-9977

Authorized Official

Name: EDUARDO BENITEZ
Title: DIRECTOR
Phone: (504) 430-0025

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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