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Individual

DR. PHILLIP G BENTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
303 PARKWAY DR NE, DEPARTMENT OF ORTHOPEDIC SURGERY, ATLANTA, GA 30312-1212
(404) 265-4000
Mailing address
8875 CAMP AVE, JONESBORO, GA 30236-5205
(770) 477-5390
(770) 477-5390

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
09431
GA

Other

Enumeration date
02/06/2008
Last updated
02/06/2008
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