Individual
MORRIS SCOTT BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.C.
Contact information
Practice address
121 NORTH 20TH STREET # 18, OPELIKA, AL 36801-5457
(334) 749-8303
(334) 745-5243
Mailing address
121 NORTH 20TH STREET # 18, P.O. BOX 2125, OPELIKA, AL 36803-2125
(334) 749-8303
(334) 745-5243
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA 210
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51051184BEN
BLUE CROSS & BLUE SHIELD
AL
01
—
51097401BEN
BLUE CROSS & BLUE SHIELD
AL
01
—
51097402BEN
BLUE CROSS & BLUE SHIELD
AL
Enumeration date
05/15/2006
Last updated
02/03/2010
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