| NPI | 1679788640 |
|---|---|
| Doing Business As | BENNETT OPHTHALMOLOGY GROUP |
| Entity Type | Organization |
| Authorized Contact | MARSHA P WARD Clinic Manager 662-328-1254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MS 12818) |
| Enumeration Date | 2007-05-13 |
| Last Update Date | 2008-02-18 |