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Contact Information

MARK BENSON
4176 CHATFORD CV
TUCKER, GA30084-7907
 Phone: 404-552-3540
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health

163WC1500X
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MARK BENSON · (Male)

NPI # 1063069391
Status Active
Credentials
Entity Individual
Enumeration date 08/21/2019
Last updated 08/21/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # RN284420
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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