Individual
BENJAMIN TURNER OLDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1310 BRAMPTON AVE, STATESBORO, GA 30458-0851
(912) 871-6206
(912) 681-8558
Mailing address
1310 BRAMPTON AVE, STATESBORO, GA 30458-0851
(912) 871-6206
(912) 681-8558
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
056210
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056210
MEDICAL LICENSE
GA
05
—
992342914A
—
GA
Enumeration date
07/26/2007
Last updated
08/11/2015
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