Individual
ERICHA ROSS BENSHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
770 PINE ST STE 290, ATTN: RADIOLOGY DEPARTMENT, MACON, GA 31201-7516
(478) 743-1458
(478) 755-1332
Mailing address
770 PINE ST STE 290, ATTN: RADIOLOGY DEPARTMENT, MACON, GA 31201-7516
(478) 743-1458
(478) 755-1332
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0355662
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000503148C
—
GA
Enumeration date
10/24/2005
Last updated
07/03/2014
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