Individual
KAYLA BENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1025 N MAIN ST, CEDARTOWN, GA 30125-2036
(706) 509-3278
Mailing address
420 E 2ND AVE STE 103, ROME, GA 30161-3210
(706) 509-3000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
85437
GA
Other
Enumeration date
05/16/2017
Last updated
03/07/2023
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