Individual
DR. BENJAMIN EDGAR BOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4807 11TH PL, MERIDIAN, MS 39305-2771
(601) 482-7232
Mailing address
4807 11TH PL, MERIDIAN, MS 39305-2771
(601) 482-7232
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
04485
MS
Other
Enumeration date
06/08/2007
Last updated
07/08/2007
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