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Organization

BENJAMIN RECORD WHITEHOUSE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BENJAMIN RECORD WHITEHOUSE MD (RESIDENT PHYSICIAN)
(434) 229-5567
Entity
Organization

Contact information

Practice address
303 PARKWAY DR NE, ATLANTA, GA 30312-1212
(434) 229-5567
Mailing address
641 NORTH AVE NE, APT 4101, ATLANTA, GA 30308-2846
(434) 229-5567

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
007624
GA

Other

Enumeration date
06/20/2015
Last updated
06/25/2015
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