Individual
DR. CRAIG MICHAEL BENOIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
302 MERCHANTS WALK, SUITE 100, TUSCALOOSA, AL 35406-2290
(205) 523-9300
(205) 523-9301
Mailing address
302 MERCHANTS WALK, SUITE 100, TUSCALOOSA, AL 35406-2290
(205) 523-9300
(205) 523-9301
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
00024485
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009980620
—
AL
01
—
102I043673
MEDICARE PTAN
AL
01
—
51506806
BLUECROSS BLUESHIELD
AL
Enumeration date
02/17/2006
Last updated
04/24/2015
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