# BENJAMIN RECORD WHITEHOUSE

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

## Provider details

- **NPI number:** 1699157115
- **Authorized official:** DR. BENJAMIN RECORD WHITEHOUSE MD (RESIDENT PHYSICIAN)
- **Authorized official phone:** (434) 229-5567

## Contact information

- **Practice address:** 303 PARKWAY DR NE, ATLANTA, GA 30312-1212
- **Practice address phone:** (434) 229-5567
- **Mailing address:** 641 NORTH AVE NE, APT 4101, ATLANTA, GA 30308-2846
- **Mailing address phone:** (434) 229-5567

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 007624 | GA | Yes |

## Other

- **Enumeration date:** 06/20/2015
- **Last updated:** 06/25/2015