Dan Bennett, M.d., P.a.

NPI #1679788640 in Columbus, Mississippi

Provider Information

NPI Number: 1679788640
Entity Type: Organization
Organization Name: Dan Bennett, M.d., P.a.
Primary Specialty: Specialist
Enumeration Date: May 13, 2007
Last Updated: Feb 18, 2008

Practice Location

Address: 2475 5TH ST N
City: Columbus
State: Mississippi
ZIP Code: 39705-2005
Phone: (662) 328-1254

Authorized Official

Name: MRS. MARSHA P WARD
Title: CLINIC MANAGER
Phone: (662) 328-1254

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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