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Individual

DR. BENNIE B WRIGHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
810 E SUNFLOWER RD, SUITE 100A, CLEVELAND, MS 38732-2800
(662) 846-6015
Mailing address
810 E SUNFLOWER RD, SUITE 100A, CLEVELAND, MS 38732-2800
(662) 846-6015

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
08829
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00115711
MS
Enumeration date
01/17/2007
Last updated
07/30/2015
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