Dr. Benjamin Clark Dillard
M.D. | Pediatric Emergency Medicine | Male
Dr. Benjamin Clark Dillard, M.D. is a Jackson, Mississippi based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Dr. Benjamin Clark Dillard is
2500 N State St, Jackson, Mississippi - 39216-4500. He can be contacted on phone at
601-984-2000.
Dr. Benjamin Clark Dillard is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Benjamin Clark Dillard is
1639106636 which was assigned by NPPES on 26 Jun, 2006 and it was last updated on 14 Jun, 2012.
Dr. Benjamin Clark Dillard license number is
15975 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in Mississippi.
Dr. Benjamin Clark Dillard has special qualifications to manage emergencies in infants and children.
Complete Profile:
Dr. Benjamin Clark Dillard basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Dr. Benjamin Clark Dillard |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Benjamin Clark Dillard address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2500 N State St
Jackson, MS, 39216-4500
United States |
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| Phone Number : | 601-984-2000 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1639106636 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 26 Jun, 2006 |
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| Last Updated On : | 14 Jun, 2012 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Benjamin Clark Dillard are as mentioned. Primary taxonomy code for Dr. Benjamin Clark Dillard, M.D. is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | 15975 | MS |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Benjamin Clark Dillard such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 00839845 | MEDICAID | MS | |
| 370000378 | Other | MS | MEDICARE PIN 2007 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2500 N State St
Jackson, MS, 39216-4500
United States |
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| Phone Number : | 601-984-2000 |
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Business Location:
Patients can refer following map for directions to
Dr. Benjamin Clark Dillard practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.