Individual
BENJAMIN ROBERT HERRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
800 KENNESAW AVE NW STE 120, MARIETTA, GA 30060
(470) 336-8190
(770) 336-6620
Mailing address
800 KENNESAW AVE NW STE 120, MARIETTA, GA 30060-1052
(470) 336-8190
(770) 336-6620
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
12/12/2016
Last updated
05/31/2018
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