Individual
DR. BENJAMIN P. DEBELAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
253 W MAIN ST, GALLATIN, TN 37066-3290
(615) 826-7171
Mailing address
PO BOX 370, FORTSON, GA 31808-0370
(706) 494-3008
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2014-00194
NC
207X00000X
Orthopaedic Surgery Physician
Primary
3817
TN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
2014-00194
NC
Other
Enumeration date
04/06/2007
Last updated
09/10/2020
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