# JAY B BENDER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457521726
- **Authorized official:** JAY B BENDER M.D. (ADMINISTRATOR)
- **Authorized official phone:** (770) 740-0096

## Contact information

- **Practice address:** 3215 MCCLURE BRIDGE RD, DULUTH, GA 30096-3223
- **Practice address phone:** (678) 584-6800
- **Practice address fax:** (678) 867-0319
- **Mailing address:** 375 CREEK POINT, ALPHARETTA, GA 30004
- **Mailing address phone:** (770) 740-0096
- **Mailing address fax:** (678) 867-0319

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 049787 | GA | Yes |

## Other

- **Enumeration date:** 03/03/2008
- **Last updated:** 03/14/2008