Individual
BENJAMIN GLASGOW MCDANIEL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1022 1ST ST N, STE103, ALABASTER, AL 35007-8706
(205) 621-3930
(205) 621-0998
Mailing address
2000A SOUTHBRIDGE PKWY, STE 300, BIRMINGHAM, AL 35209-7718
(205) 871-4274
(205) 871-4301
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
00024763
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-33591
BLUE CROSS
AL
01
—
515-33592
BLUE CROSS
AL
01
—
515-33593
BLUE CROSS
AL
01
—
51533592
BCBS AL
AL
01
—
7216815
AETNA
AL
01
—
P00334412
RRMC
AL
Enumeration date
05/11/2006
Last updated
12/30/2015
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