person
Benjamin Statham, DO
Student in an Organized Health Care Education/Training Program in Jackson, Mississippi
NPI 1306696786

Benjamin Statham is a Student in an Organized Health Care Education/Training Program based in Corinth, MS. Benjamin Statham practices in Jackson, MS and has the professional credentials of DO. The NPI Number for Benjamin Statham is 1306696786 and holds a License No. (Mississippi).

The current practice location address for Benjamin Statham is 2500 N State St, Jackson, MS and can be reached out via phone at 601-984-1000.

Location: 2500 N State St, Jackson, MS, 38834-4106
person
Provider Profile Details
NPI Number
1306696786
Provider Name
Benjamin Statham
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
2500 N State St, Jackson, MS, 38834-4106
Phone Number
601-984-1000
Fax Number
Provider Enumeration Date
03/26/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
2500 N State St
City
State
Zip
39216-4500
Phone Number
601-984-1000
Fax Number
person
Provider Business Mailing Address Details
Address
2500 N State St
City
State
Zip
39216-4500
Phone Number
601-984-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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