Individual
BENJAMIN TIMOTHY MCAULEY
Active
Individual
BENJAMIN TIMOTHY MCAULEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6719
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
427259008A
—
GA
01
—
808095
BCBS GA
GA
01
—
P00097956
RAILROAD MEDICARE
GA
Enumeration date
06/02/2006
Last updated
11/19/2010
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