Individual
BENJAMIN WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25 BARBERRY CIR, COVINGTON, GA 30016-6504
(404) 906-3821
Mailing address
25 BARBERRY CIR, COVINGTON, GA 30016-6504
(404) 906-3821
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
059033034
GA
172A00000X
Driver
—
—
Other
Enumeration date
07/05/2023
Last updated
08/18/2023
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