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DR. REGINA M BENJAMIN MD

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1033188339

Individual Registrant:
DR. REGINA M BENJAMIN MD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
13833 TAPIA AVE  BAYOU LA BATRE, AL 36509-2515 US
Tel: 251-824-4985  Fax: 251-824-4990

Contact information for business:
13833 TAPIA AVE  BAYOU LA BATRE, AL 36509-2515 US
Tel: 251-824-4985  Fax: 251-824-4990

Registration Information:
NPI: 1033188339
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
AL13314

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
541384501AL05
009912056AL05
81721AL05




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