Individual
DR. BENJAMIN EUGENE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 WOODRUFF CIR NE, ATLANTA, GA 30322-1020
(305) 804-1684
Mailing address
100 WOODRUFF CIR NE, ATLANTA, GA 30322-1020
(305) 804-1684
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C0003283
MD
363AM0700X
Medical Physician Assistant
AMD462
HI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/04/2006
Last updated
06/14/2023
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