Individual
DR. ERWIN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6007 BERRYHILL RD, MILTON, FL 32570-4008
(334) 274-9000
(334) 274-0857
Mailing address
4294 LOMAC ST, MONTGOMERY, AL 36106-3604
(334) 274-9000
(334) 274-0857
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD 35119
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51178870
BLUE CROSS PROVIDER NUMBER
AL
Enumeration date
05/20/2010
Last updated
09/03/2020
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