Individual
BENJAMIN BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
419 LEWISTON RD STE 3, GROVETOWN, GA 30813-4290
(706) 945-0420
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 702-4389
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
CP049336T
GA
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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