Dan Bennett, M.D., P.A. in Columbus - Specialist

Dan Bennett, M.D., P.A. - NPI 1679788640

Dan Bennett, M.D., P.A. is a Specialist in Columbus, Mississippi. Dan Bennett, M.D., P.A. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Dan Bennett, M.D., P.A. is 1679788640. The last update date is 2008-02-18.

Dan Bennett, M.D., P.A.'s current location address is 2475 5th St N, Columbus, Mississippi. You can contact this provider via phone number 6623281254 and fax number 6623272033. The mailing address for Dan Bennett, M.D., P.A. is 2475 5th St N, Columbus, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Organization Dan Bennett, M.D., P.A.
Address 2475 5th St N, Columbus, Mississippi
Phone Number 6623281254
Fax Number 6623272033
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CLINIC MAN
Authorized Official Name Ward P Marsha
Telephone Number 6623281254

NPI Number Detail

NPI Number 1679788640
Provider Enumeration Date 2007-05-13
Last Updated Date 2008-02-18

Provider Mailing Address Detail

Address 2475 5th St N
City Columbus
State Mississippi (MS)
Post Code 397052005
Phone Number 6623281254
Fax Number 6623272033

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 12818
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8101054 MS --
CM6726 GA RR MEDICARE

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FAQs about Dan Bennett, M.D., P.A.

What is the Dan Bennett, M.D., P.A.'s 1679788640?

The Dan Bennett, M.D., P.A.'s NPI (National Provider Identifier) Number is 1679788640. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Dan Bennett, M.D., P.A. is geographically located?

The Dan Bennett, M.D., P.A. is physically situated at the following location: 2475 5Th St N, Columbus, MS, 397052005.

What is Dan Bennett, M.D., P.A.'s specialized field of practice, and what is the corresponding taxonomy classification code?

The Dan Bennett, M.D., P.A.'s area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.

On what date was the 1679788640 assigned to Dan Bennett, M.D., P.A.?

The Dan Bennett, M.D., P.A. was issued its 1679788640 on 2007-05-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Dan Bennett, M.D., P.A. last refreshed?

The information related to the Dan Bennett, M.D., P.A., including its address, specialty, and other relevant details, was last updated on 2008-02-18.

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