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Individual
GEORGE RUFFIN BENTON III
Active
Individual
GEORGE RUFFIN BENTON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18605
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-70389
UNITED HEALTHCARE
NC
01
—
0637660001
PALMETTO GOVERNMENT SERVI
NC
01
—
110012027
RAILROAD MEDICARE
NC
01
—
15071
BLUE CROSS BLUE SHIELD
NC
01
—
561852981E
CIGNA
NC
05
—
8915071
—
NC
Enumeration date
10/10/2006
Last updated
10/07/2021
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