Bennett, James Grady

Bennett, James Grady is an individual health care provider with primary practice located at 970 Lakeland Dr Suite 61, Jackson MS 39216-4635. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Bennett, James Grady can be contacted via phone (601) 982-7850.

Contact Information

Primary practice address
970 Lakeland Dr Suite 61 Jackson MS 39216-4635
Phone: (601) 982-7850
Fax: (601) 718-5145
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 16464 Mississippi
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 16464 Mississippi

Profile Details

NPI number 1760426670
LBN Legal business name Bennett, James Grady
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Nov 15th, 2023 - about last year

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 1760426670 NPPES
Mississippi MEDICAID 03650034

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