Organization
BENJAMIN T HUBBARD JR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN T HUBBARD JR. OD (OWNER)
(662) 563-5533
Entity
Organization
Contact information
Practice address
260 POWER DR, BATESVILLE, MS 38606
(662) 563-5533
(662) 563-0777
Mailing address
260 POWER DR, BATESVILLE, MS 38606-3010
(662) 563-5533
(662) 563-0777
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
603
MS
Other
Enumeration date
06/05/2008
Last updated
07/31/2018
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