Individual
DR. BENJAMIN DANN MACKIE
Active
Individual
DR. BENJAMIN DANN MACKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
001477
GA
207RC0000X
Cardiovascular Disease Physician
Primary
ME115620
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001477
GA TMP TRAINING PERMIT
GA
05
—
008608500
—
FL
Enumeration date
01/06/2008
Last updated
03/26/2024
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