Individual
DR. BENNETT STEVEN GREENSPAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 15TH ST, RADIOLOGY DEPARTMENT, AUGUSTA, GA 30912-0004
(706) 721-9729
(706) 772-1850
Mailing address
1120 15TH ST, RADIOLOGY DEPARTMENT, AUGUSTA, GA 30912-0004
(706) 721-9729
(706) 721-8507
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
068739
GA
2085R0202X
Diagnostic Radiology Physician
25MA04540800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202I303748
GA MEDICARE
GA
Enumeration date
05/18/2006
Last updated
04/13/2021
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