MR. Benjamin Lyal Joseph Scrivener, PA-C

NPI #1134095235 in Southaven, Mississippi

Provider Information

NPI Number: 1134095235
Entity Type: Individual
Name: MR. Benjamin Lyal Joseph Scrivener, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 15, 2025
Last Updated: Oct 15, 2025

Practice Location

Address: 132 KAYLA DR
City: Southaven
State: Mississippi
ZIP Code: 38671-1806
Phone: (662) 897-9494

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medical Technician, Paramedic	146L00000X
Physician Assistant	363A00000X	Primary

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