Individual
BENJAMIN JAMES COLVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
641 ROWENA ST, MONTGOMERY, LA 71454-6313
(318) 646-3000
(318) 646-3003
Mailing address
105 COMMANCHE TRL, PINEVILLE, LA 71360-4403
(318) 663-4914
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
120031
LA
363LF0000X
Family Nurse Practitioner
Primary
AP07366
LA
Other
Enumeration date
01/02/2013
Last updated
05/11/2026
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