Individual
DR. BENJAMIN DANIEL PETTIGREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
703 ALCORN DR STE 109, CORINTH, MS 38834-9302
(662) 286-2522
Mailing address
703 ALCORN DR STE 109, CORINTH, MS 38834-9302
(662) 286-2522
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
30300
MS
Other
Enumeration date
05/11/2016
Last updated
11/15/2023
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