Individual
JODIE B BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 SAINT VINCENTS DR, NORTH TOWER SUITE 600, BIRMINGHAM, AL 35205-1620
(205) 271-1600
(205) 271-3167
Mailing address
800 SAINT VINCENTS DR, SUITE 600, BIRMINGHAM, AL 35205-1620
(205) 271-1600
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
24407
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009962235
—
AL
Enumeration date
07/20/2006
Last updated
09/02/2015
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