Patrise Bennett, MD

NPI #1407878747 in Jackson, Mississippi

Provider Information

NPI Number: 1407878747
Entity Type: Individual
Name: Patrise Bennett, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jul 24, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 5606 OLD CANTON RD
City: Jackson
State: Mississippi
ZIP Code: 39211-4217
Phone: (601) 957-3333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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