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Individual

KENNETH JAMES BENJAMIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
902 N 7TH ST, CORDELE, GA 31015-3234
(229) 276-3325
Mailing address
902 N 7TH ST, CORDELE, GA 31015-3234
(229) 276-3100
(229) 271-4654

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
042527
GA
207R00000X
Internal Medicine Physician
Primary
42527
GA

Other

Enumeration date
08/18/2006
Last updated
12/29/2023
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