Individual
JAY B BENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 HOSPITAL BLVD, SUITE 150, ROSWELL, GA 30076-4907
(678) 297-7588
(678) 297-7587
Mailing address
2500 HOSPITAL BLVD, SUITE 150, ROSWELL, GA 30076-4907
(678) 297-7588
(678) 297-7587
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
049787
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
049787
LICENSE
GA
Enumeration date
09/20/2006
Last updated
09/27/2013
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