Organization
BULLDOG PHYISICAL THERAPY AND SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODY BENNETT (OWNER)
(662) 418-4675
Entity
Organization
Contact information
Practice address
500 RUSSELL ST, 32, STARKVILLE, MS 39759-3413
(662) 418-4675
Mailing address
500 RUSSELL ST, 32, STARKVILLE, MS 39759-3413
(662) 418-4675
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
07/12/2012
Last updated
07/12/2012
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