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Individual

DR. BENJAMIN T HUBBARD JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
260 POWER DR, BATESVILLE, MS 38606
(662) 563-5533
(662) 563-0777
Mailing address
260 POWER DR, BATESVILLE, MS 38606-3010
(662) 563-5533
(662) 563-0777

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
603
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00880063
MS
Enumeration date
08/30/2006
Last updated
10/02/2018
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