Individual
DR. REGINA M BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13833 TAPIA AVE, BAYOU LA BATRE, AL 36509-2515
(251) 824-4985
(251) 824-4990
Mailing address
13833 TAPIA AVE, BAYOU LA BATRE, AL 36509-2515
(251) 824-4985
(251) 824-4990
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13314
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009912056
—
AL
05
—
541384501
—
AL
05
—
81721
—
AL
Enumeration date
03/17/2006
Last updated
05/29/2008
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