IndividualActive
Benton Parker, M.D.
NPI 1215041116 · Diagnostic Radiology Physician · Jackson, MS
Provider details
- NPI number
- 1215041116
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 11067 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
969 Lakeland Dr
Jackson, MS 39216-4606
Phone: (877) 406-2916
Fax: (601) 682-7909
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 55769
Jackson, MS 39296-5769
Registry dates
- Enumerated
- 2006-08-18
- Last updated
- 2017-02-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.