Individual
DR. ALLISON DERRICK BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 988-8044
Mailing address
7141 COPPER RIDGE DR, RIDGELAND, MS 39157-1042
(601) 988-8044
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
T-2404
MS
Other
Enumeration date
07/01/2011
Last updated
07/01/2011
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