| Doctor Name: | ALBERT BENNETTE ST. JOHN |
| NPI Number: | 1063699965 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 11531 |
| Business Practice Address: | 21075 Rabren Rd Andalusia, AL - 364218115 |
| Business Phone Number: | 3342229646 |
| Business Fax Number: | 3342229646 |
| Mailing Address: | 21075 Rabren Rd, ANDALUSIA |
| State: | AL |
| Postal Code: | 364218115 |
| Phone Number: | 3342229646 |
| Fax Number: | 3342229646 |
| NPI Enumeration Date: | 01/23/2008 |
| NPI Last Update Date: | 12/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | 11531 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |