Individual
DR. TRACY G BENZING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
149 DRINKWATER RD, BAY ST LOUIS, MS 39520-1658
(228) 467-2878
(228) 395-1292
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
80182
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08908534
—
MS
Enumeration date
08/15/2005
Last updated
10/22/2020
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