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NPI Code Detail

MEDICARE: DR. DAVID WAYNE BENNETT

MEDICARE:  DR. DAVID WAYNE BENNETT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician10933AL

General Provider Information

NPI Number : 1962410688
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID WAYNE BENNETT
Provider Business Mailing Address
First Line : 96 ALI WAY
Second Line :
City : OXFORD
State : AL
Zip : 36203-1835
Country : US
Telephone Number : 256-832-4141
Fax Number : 256-832-4153
Provider Business Practice Location Address
First Line : 96 ALI WAY
Second Line :
City : OXFORD
State : AL
Zip : 36203-1835
Country : US
Telephone Number : 256-832-4141
Fax Number : 256-832-4153
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2006
Last Update Date : 07/08/2007

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Directions to “ DR. DAVID WAYNE BENNETT ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.