# MR. BENJAMIN J SMITH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1326061623
- **Gender:** Man
- **Credential:** PAC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 3410 | GA | Yes |
| 363A00000X | Physician Assistant | 905 | GA | — |

## Other

- **Enumeration date:** 07/26/2006
- **Last updated:** 06/28/2022