Individual
BENJAMIN EASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2039 FLAT SHOALS RD, RIVERDALE, GA 30296-2833
(404) 747-7090
Mailing address
2039 FLAT SHOALS RD, RIVERDALE, GA 30296-2833
(404) 747-7090
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/14/2019
Last updated
03/14/2019
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