Organization
JOHN W. BENUS FOOT CLINIC
Active
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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