Individual
JELANI DIA BENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1475 LANEY WALKER BLVD, AUGUSTA, GA 30912-0002
(706) 721-7005
Mailing address
14 CRABAPPLE WAY APT 1403, AUGUSTA, GA 30904-4998
(205) 907-8660
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
16453
GA
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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