Organization
F B BENSON III MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY LAWSON (ADMINISTRATOR)
(678) 423-7065
Entity
Organization
Contact information
Practice address
824 6TH AVE SE STE B, DECATUR, AL 35601-3022
(256) 350-4782
(256) 350-5508
Mailing address
824 6TH AVE SE STE B, DECATUR, AL 35601-3022
(256) 350-4782
(256) 350-5508
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
7906
AL
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
7906
AL
208D00000X
General Practice Physician
7906
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000031365
—
AL
01
—
1154377828
BCBC OF ALABAMA
AL
Enumeration date
10/10/2008
Last updated
09/07/2011
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