Individual
DR. BENJAMIN GRODIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3000 HOSPITAL BLVD, ROSWELL, GA 30076-4915
(770) 751-2500
(770) 751-2609
Mailing address
PO BOX 116171, ATLANTA, GA 30368-6171
(800) 919-1190
(706) 737-2271
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
054570
GA
207L00000X
Anesthesiology Physician
Primary
ME89281
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
054570
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
660133640A
—
GA
Enumeration date
09/23/2005
Last updated
12/13/2019
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