Individual
BENSON ALBERT GRIGSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2916 N TRENTON ST, RUSTON, LA 71270-2444
(318) 254-2892
(318) 254-2898
Mailing address
2916 N TRENTON ST, RUSTON, LA 71270-2444
(318) 254-2892
(318) 254-2898
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
018222
LA
207Q00000X
Family Medicine Physician
Primary
018222
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1656453
—
LA
Enumeration date
07/09/2006
Last updated
01/02/2008
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