Benson, Gary Wayne

Benson, Gary Wayne is an individual health care provider with primary practice located at 5052 W 4Th St , Hattiesburg MS 39402-1069. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cytopathology, which is considered as his primary health care specialty. Benson, Gary Wayne can be contacted via phone (601) 268-5995.

Contact Information

Primary practice address
5052 W 4Th St Hattiesburg MS 39402-1069
Phone: (601) 268-5995
Fax: (601) 264-7426
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X 10608 Mississippi

Profile Details

NPI number 1174542872
LBN Legal business name Benson, Gary Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated May 21st, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174542872 NPPES
Mississippi MEDICAID 00117051
Mississippi Other P00470762

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