Individual
DR. BENJAMIN A BOGRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2040 DAN PROCTOR DR STE 240, SAINT MARYS, GA 31558-3801
(912) 576-6340
(912) 576-6341
Mailing address
2040 DAN PROCTOR DR STE 240, SAINT MARYS, GA 31558-3801
(912) 576-6340
(912) 576-6341
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0102202765
VA
208600000X
Surgery Physician
Primary
84722
GA
Other
Enumeration date
06/11/2009
Last updated
09/18/2020
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