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Individual

JAMES DONIS BENHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM. B.

Contact information

Practice address
700 CENTER ST, SUITE 100, COLUMBUS, GA 31901-1546
(706) 660-2600
(706) 571-1706
Mailing address
485 LEE ROAD 435, SALEM, AL 36874-4571
(334) 297-9624

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
013735
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
013735
STATE LICENSE NUMBER
GA
Enumeration date
05/16/2007
Last updated
07/08/2007
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