Individual
BENJAMIN CARTER ZACKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 WOODRUFF CIR NE, ATLANTA, GA 30322-1020
(404) 727-5658
Mailing address
100 WOODRUFF CIR NE, ATLANTA, GA 30322-1020
(404) 727-5658
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
100429
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2021
Last updated
06/21/2024
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