Individual
BENTON E HEWITT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
230 E BROADWAY ST, YAZOO CITY, MS 39194-4547
(662) 746-3713
Mailing address
80 SHORE DR, CLINTON, MS 39056-3546
(601) 924-2392
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10774
MS
Other
Enumeration date
10/08/2010
Last updated
10/08/2010
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