Individual
DR. JAMES B BENIGNO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
205 E SECOND ST, PASS CHRISTIAN, MS 39571-4422
(228) 452-0830
(228) 452-0870
Mailing address
PO BOX 687, PASS CHRISTIAN, MS 39571-0687
(228) 452-0830
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
614
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00880092
—
MS
Enumeration date
04/23/2007
Last updated
11/09/2011
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