Individual
DR. BARBARA BENNETT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7583 WALL TRIANA HWY, MADISON, AL 35757-8327
(256) 547-6119
(256) 546-2981
Mailing address
PO BOX 303, GADSDEN, AL 35902-0303
(256) 547-6119
(256) 546-2981
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00014722
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3004
NEIC SITE ID NSD BAO-7
AL
01
—
51527850
BLUE CROSS BLUE SHIELD
AL
Enumeration date
06/01/2006
Last updated
03/07/2023
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