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1396777421
GREGORY THOMAS BENTON
COVINGTON, LA
NPI
1396777421
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: LA 199991)
Enumeration Date
2006-07-07
Last Update Date
2007-07-08
Business Address
GREGORY THOMAS BENTON MD
95 E FAIRWAY DR LAKEVIEW MEDICAL CENTER
COVINGTON, LA 70433-7500
Phone number: 985-867-4000
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Mailing Address
GREGORY THOMAS BENTON MD
871 COLE CT
COVINGTON, LA 70433-7904
Phone number: 504-432-6458
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