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Contact Information

BENJAMIN C MCINTYRE, MD
2500 N STATE ST
DEPT OF SURGERY
JACKSON, MS39216-4500
 Phone: 601-984-5452
 Fax: 601-815-3322
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
 

Plastic Surgery

208200000X 02 Physician/General Surgery
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for BENJAMIN C MCINTYRE · (Male)

NPI # 1407067705
Status Active
Credentials MD
Entity Individual
Enumeration date 05/25/2007
Last updated 10/04/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 24236
  • OH License # 57007052
  • SC License # 32525
  • MS Medicaid 00173530
  • MS Medicaid 189604
  • SC Medicaid 325259
  • MS Other P01702551 RR MEDICARE PTAN
  • SC Other AA74671955 MEDICARE PTAN
Hospital affiliation(s)
  • UNIVERSITY OF MISSISSIPPI MED CENTER - (Acute Care)
    2500 N STATE ST
    JACKSON, MS 39216
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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