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Organization

JOHN W. BENUS FOOT CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CYNTHIA KAY LONNEMAN (OFFICE MANAGER)
(228) 762-9531
Entity
Organization

Contact information

Practice address
4311 CHICOT ST, PASCAGOULA, MS 39581-4701
(228) 762-9531
(228) 762-9588
Mailing address
4311 CHICOT ST, PASCAGOULA, MS 39581-4701
(228) 762-9531
(228) 762-9588

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
80030
MS
291U00000X
Clinical Medical Laboratory
Primary
MS
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Enumeration date
02/01/2008
Last updated
07/21/2022
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