Individual
DR. SEBASTIAAN MICHAEL BENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2450 ATLANTA HWY STE 903, CUMMING, GA 30040-1252
(404) 659-5909
(770) 399-9449
Mailing address
7623 KAYWOOD DR, DALLAS, TX 75209-4007
(512) 484-1167
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
79891
GA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
R3273
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003211857A
—
GA
Enumeration date
04/15/2014
Last updated
10/11/2022
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