Individual
DR. JAMES DANIEL BENNETT III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2475 5TH ST N, COLUMBUS, MS 39705-2005
(662) 328-1254
(662) 327-2033
Mailing address
2475 5TH ST N, COLUMBUS, MS 39705-2005
(662) 328-1254
(662) 327-2033
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
12818
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0116918
—
MS
Enumeration date
05/31/2005
Last updated
02/19/2008
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