Individual
MR. BENJAMIN DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
522 N CENTER ST, THOMASTON, GA 30286-3695
(706) 646-4371
(706) 646-4372
Mailing address
PO BOX 370, FORTSON, GA 31808-0370
(706) 494-3008
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
005084
GA
363AS0400X
Surgical Physician Assistant
Primary
5084
GA
363AS0400X
Surgical Physician Assistant
PA.749
AL
Other
Enumeration date
07/26/2007
Last updated
08/06/2025
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