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1215041116
BENTON CLAY PARKER
JACKSON, MS
NPI
1215041116
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: MS 11067)
Enumeration Date
2006-08-18
Last Update Date
2017-02-09
Business Address
Dr. BENTON CLAY PARKER M.D.
969 LAKELAND DR
JACKSON, MS 39216-4606
Phone number: 877-406-2916
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Mailing Address
Dr. BENTON CLAY PARKER M.D.
PO BOX 55769
JACKSON, MS 39296-5769
Phone number: 601-200-6162
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