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Individual

BENJAMIN R KING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
401 LOWELL DR SE, SUITE 11, HUNTSVILLE, AL 35801-3748
(256) 533-3337
(256) 533-3361
Mailing address
420 LOWELL DR SE, SUITE 103, HUNTSVILLE, AL 35801-3754
(256) 535-5940
(256) 535-5954

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
6130
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0004003580
AETNA
01
51082189
BLUE CROSS BLUE SHIELD
AL
Enumeration date
11/11/2005
Last updated
07/08/2007
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