Individual
BENJAMIN ROSS NILAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 S UNIVERSITY BLVD UNIT 6000, MOBILE, AL 36608-3274
(251) 660-5555
(251) 660-5559
Mailing address
PO BOX 40480, MOBILE, AL 36640-0480
(251) 434-3626
(251) 445-2464
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LL35917
SC
207RG0100X
Gastroenterology Physician
Primary
35223
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35223
ALABAMA MEDICAL LICENSE
AL
01
—
LL35917
STATE LICENSE NUMBER
SC
Enumeration date
06/14/2013
Last updated
04/09/2019
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