Individual
DR. JAMES BENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2349 LAWRENCEVILLE HWY, DECATUR, GA 30033-3143
(404) 320-1550
(404) 728-1081
Mailing address
PO BOX 116470, ATLANTA, GA 30368-6470
(770) 682-2099
(866) 423-9053
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
33027
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000703139F
—
GA
05
—
00703139C
—
GA
Enumeration date
12/02/2005
Last updated
07/11/2015
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