Individual
DR. BENJAMIN CHASE JESSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
504 REDMOND RD NW, ROME, GA 30165-1416
(762) 235-2200
(706) 236-6434
Mailing address
221 TECHNOLOGY PKWY NW, ROME, GA 30165-1369
(762) 235-1000
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
060645
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
878725603A
—
GA
05
—
878725603B
—
GA
Enumeration date
01/18/2008
Last updated
04/27/2020
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