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Individual
MARK BENSON
Active
Individual
MARK BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN284420
GA
207R00000X
Internal Medicine Physician
RN284420
GA
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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