Individual
MR. BENJAMIN PALMER SCURRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1799 BRIARCLIFF RD NE STE Q1, ATLANTA, GA 30306-2142
(770) 772-1830
Mailing address
4840 GUERRY DR, MACON, GA 31210-4104
(478) 461-0564
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1179471
GA
Other
Enumeration date
08/18/2021
Last updated
04/15/2022
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