Individual
MRS. TRACI LYNN BENEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
817 PRINCETON AVE SW, STE 300, BIRMINGHAM, AL 35211-1349
(205) 780-8980
(205) 785-1554
Mailing address
817 PRINCETON AVE SW, STE 300, BIRMINGHAM, AL 35211-1349
(205) 780-8980
(205) 785-1554
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
T1612
AL
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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