Individual
DR. JOSEPH BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
204 8TH ST, GREENWOOD, MS 38930-4012
(662) 453-0504
Mailing address
PO BOX 1410, ATTN: CLINIC ADMINISTRATION, GREENWOOD, MS 38935-1410
(662) 459-7189
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
14943
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00123894
—
MS
Enumeration date
03/27/2006
Last updated
03/29/2008
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