Individual
BENITA JOETTA MYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1488 HWY 487, FAMILY MEDICINE, SEBASTOPOL, MS 39359-0150
(601) 625-7403
(601) 625-7404
Mailing address
P.O. BOX 150, FAMILY MEDICINE, SEBASTOPOL, MS 39359-0150
(601) 625-7403
(601) 625-7404
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24546
MS
Other
Enumeration date
04/17/2013
Last updated
10/19/2016
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