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1447547047
ALLISON DERRICK BENNETT
JACKSON, MS
NPI
1447547047
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: MS T-2404)
Enumeration Date
2011-07-01
Last Update Date
2011-07-01
Business Address
Dr. ALLISON DERRICK BENNETT M.D.
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-988-8044
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Mailing Address
Dr. ALLISON DERRICK BENNETT M.D.
7141 COPPER RIDGE DR
RIDGELAND, MS 39157-1042
Phone number: 601-988-8044
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