Organization
EASTERN HEALTH CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA BENTON MD (CEO)
(678) 701-2225
Entity
Organization
Contact information
Practice address
1455 OLD MCDONOUGH HWY #C, CONYERS, GA 30094
(678) 210-2225
(678) 201-2226
Mailing address
PO BOX 500067, ATLANTA, GA 31150
(678) 701-2225
(678) 701-2226
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
07/15/2008
Last updated
07/15/2008
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