Individual
C COLLEEN BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
1400 NORTHSIDE FORSYTH DR, STE 240, CUMMING, GA 30041-7668
(770) 292-3045
(770) 292-3046
Mailing address
1400 NORTHSIDE FORSYTH DR, STE 240, CUMMING, GA 30041-7668
(770) 292-3045
(770) 292-3046
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD003865
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003127051A
—
GA
Enumeration date
05/08/2012
Last updated
02/01/2017
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