Individual
DR. DAVID MICHAEL BENGLIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2001 PEACHTREE RD NE, SUITE 575, ATLANTA, GA 30309-1476
(404) 350-0106
(404) 350-0176
Mailing address
2001 PEACHTREE RD NE, SUITE 575, ATLANTA, GA 30309-1476
(404) 350-0106
(404) 350-0176
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
065525
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202I144191
MEDICARE NUMBER
GA
Enumeration date
06/07/2007
Last updated
03/09/2015
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