Individual
BENJAMIN M MCGREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-6600
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
24764
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009901235
—
AL
05
—
009933835
—
AL
01
—
040017389
RAILROAD MEDICARE
AL
01
—
051510821
BLUE CROSS
AL
01
—
051510822
BLUE CROSS
AL
01
—
051517999
BLUE CROSS
AL
05
—
051552149
—
AL
Enumeration date
07/02/2006
Last updated
11/25/2009
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