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Individual

DR. CARMEN ANGELA BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3200 16TH ST N, BIRMINGHAM, AL 35207-4202
(205) 325-7001
(205) 325-1976
Mailing address
PO BOX 12725, BIRMINGHAM, AL 35202-6725
(205) 325-7001
(205) 325-1976

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12443
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
APPLYING FOR
BLUE CROSS
AL
Enumeration date
07/24/2006
Last updated
07/08/2007
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