Individual
DR. FREEMAN T BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1203 LINDEN PL, JACKSON, MS 39202-2102
(601) 594-6997
(888) 506-2638
Mailing address
1203 LINDEN PL, JACKSON, MS 39202-2102
(601) 594-6997
(888) 506-2638
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14442
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01888820
—
MS
05
—
09015768
—
MS
01
—
PROVIDER NO. 8EB240
CMS
—
Enumeration date
06/16/2006
Last updated
01/23/2013
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