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Search › Mississippi › 2255A2300X

Benjamin Davis, ATC

NPI 1518460740 · on the registry since 2018

Practice

Address
1200 Magnolia Way
Blue Springs, MS 38828
Phone
(662) 317-3229
Fax
(662) 317-3216
Organisation at this address
Wal-Mart Stores East, Lp
Premise Health Of Mississippi Medical Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-03-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi