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Organization

BENEFIELD EYE CARE, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DONALD W BENEFIELD MD (PRESIDENT)
(228) 328-0972
Entity
Organization

Contact information

Practice address
11240 HIGHWAY 49, STE 300, GULFPORT, MS 39503-4151
(228) 328-0972
(228) 328-0975
Mailing address
11240 HIGHWAY 49, STE 300, GULFPORT, MS 39503-4151
(228) 328-0972
(228) 328-0975

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
012410
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09016235
MS
Enumeration date
05/18/2006
Last updated
03/07/2008
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