Individual
NICHOLAS BENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4450 CALIBRE XING NW STE 1225, ACWORTH, GA 30101-4135
(770) 491-5481
(770) 491-5482
Mailing address
4450 CALIBRE XING NW STE 1225, ACWORTH, GA 30101-4135
(770) 491-5481
(770) 491-5482
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
103050
GA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
944029
INSTITUTIONAL ID NUMBER
—
Enumeration date
07/29/2020
Last updated
05/28/2026
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