Individual
BENJAMIN PAUL STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
203 S 12TH AVE, LAUREL, MS 39440-4324
(601) 649-9706
(601) 649-9708
Mailing address
203 S 12TH AVE, LAUREL, MS 39440-4324
(601) 649-9706
(601) 649-9708
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
33490
MS
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2019
Last updated
01/21/2026
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