Individual
DR. JAMES GRADY BENNETT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
970 LAKELAND DR, SUITE 61, JACKSON, MS 39216-4635
(601) 982-7850
(601) 718-5145
Mailing address
970 LAKELAND DR, SUITE 61, JACKSON, MS 39216-4635
(601) 982-7850
(601) 718-5145
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
16464
MS
207RI0011X
Interventional Cardiology Physician
Primary
16464
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03650034
—
MS
Enumeration date
06/15/2006
Last updated
11/15/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us