Individual
BRIAN CHASE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
611 ALCORN DR, CORINTH, MS 38834-9321
(662) 293-1000
Mailing address
2008 MAPLE RD, CORINTH, MS 38834-2722
(662) 212-2234
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0102208240
VA
207R00000X
Internal Medicine Physician
Primary
T-3968
MS
208M00000X
Hospitalist Physician
0102208240
VA
Other
Enumeration date
07/01/2020
Last updated
11/03/2023
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