Individual
MR. BENJAMIN GREGORY CHISM JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BSBME, CCDS, CEPS
Contact information
Practice address
3644 BILTMORE AVE, TALLAHASSEE, FL 32311-5701
(904) 238-3770
Mailing address
3644 BILTMORE AVE, TALLAHASSEE, FL 32311-5701
Taxonomy
Speciality
Code
Description
License number
State
246ZB0301X
Biomedical Engineer
Primary
—
—
Other
Enumeration date
11/14/2017
Last updated
11/14/2017
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