Provider Demographics
NPI:1407276306
Name:OCHSNER, MIMS GAGE III (MD)
Entity Type:Individual
Prefix:DR
First Name:MIMS
Middle Name:GAGE
Last Name:OCHSNER
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:4425 PAULSEN ST
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-3662
Mailing Address - Country:US
Mailing Address - Phone:912-351-6615
Mailing Address - Fax:912-351-0645
Practice Address - Street 1:4425 PAULSEN ST
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-3662
Practice Address - Country:US
Practice Address - Phone:912-351-6615
Practice Address - Fax:912-351-0645
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-18
Last Update Date:2020-09-14
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Provider Licenses
StateLicense IDTaxonomies
ALMD.37991207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery