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Individual

BENJAMIN GLOVER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3400 HIGHWAY 78 E, JASPER, AL 35501-8956
(205) 387-4401
(205) 387-4717
Mailing address
PO BOX 52007, ATLANTA, GA 30355-0007
(678) 397-0060
(678) 397-0065

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00021580
AL

Other

Enumeration date
05/06/2006
Last updated
07/08/2007
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