Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 7906 | AL |
Y | 207QA0401X | Family Doctor - Addiction Medicine | 7906 | AL |
N | 208D00000X | General Practice Physician | 7906 | AL |
NPI | 1154377828 |
---|---|
Provider Name | Frank B Benson III |
First Address | Decatur, AL 35601-0570 |
Second Address | Decatur, AL 35601-3022 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2006 |
Last Update Date | 08/09/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000031365 | (05) | AL |
000051502 | (05) | AL |
51051502BEN | BLUE CROSS (01) | AL |
51558452 | (05) | AL |
930091090 | RAILROAD MEDICARE (01) | AL |
C69943 | (02) | AL |