Individual
JIMMY BENSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2121A BELLEVUE RD, DUBLIN, GA 31021-2998
(478) 272-1190
(478) 274-7628
Mailing address
2121A BELLEVUE RD, DUBLIN, GA 31021-2998
(478) 272-1190
(478) 274-7628
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN177279
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300030912A
—
GA
Enumeration date
06/11/2014
Last updated
06/11/2014
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