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Contact Information

BENJAMIN P FOLK III, MD
1502 S COLORADO ST
GREENVILLE, MS38703-7219
 Phone: 662-332-9872
 Fax: 662-378-0290
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for BENJAMIN P FOLK III · (Male)

NPI Number 1629010012
Status Active
Credentials MD
Entity Individual
Enumeration date 06/12/2006
Last updated 01/03/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 10931
  • MS Medicaid 0016500
  • MS Other 4376234 AETNA PIN
  • MS Other 112656001 AR MEDICAID
  • MS Other 060024546 RR MEDICARE
Hospital affiliation(s)
  • CHICOT MEMORIAL MEDICAL CENTER - (Critical Access)
    2729 SOUTH HIGHWAY 65 & 82
    LAKE VILLAGE, AR 71653
  • DELTA REGIONAL MEDICAL CENTER - (Acute Care)
    1400 E UNION ST
    GREENVILLE, MS 38704
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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