GREGORY THOMAS BENTON

COVINGTON, LA
NPI1396777421
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: LA  199991)
Enumeration Date2006-07-07
Last Update Date2007-07-08
Business Address
-- GREGORY THOMAS BENTON MD
95 E FAIRWAY DR LAKEVIEW MEDICAL CENTER
COVINGTON, LA 70433-7500
Phone number: 985-867-4000
Mailing Address
-- GREGORY THOMAS BENTON MD
871 COLE CT
COVINGTON, LA 70433-7904
Phone number: 504-432-6458
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