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Individual

DR. GEORGE M BENASHVILI

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
710 CENTER ST, DEPARTMENT OF RADIOLOGY, COLUMBUS, GA 31901-1527
(706) 571-1064
(706) 571-1986
Mailing address
13333 NORTHWEST FWY, STE 540, HOUSTON, TX 77040-6166
(706) 660-6358

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
047396
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000883979B
GA
Enumeration date
12/19/2005
Last updated
04/22/2020
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