Individual
MR. BENJAMIN K FLEMING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1315 JESSE JEWELL PARKWAY, GAINESVILLE, GA 30501-3822
(770) 219-6520
(770) 219-6521
Mailing address
4553 CREEK FOREST CT, LILBURN, GA 30047
(770) 717-0158
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003108143A
—
GA
01
—
202I976846
MEDICARE PTAN
GA
Enumeration date
04/27/2007
Last updated
06/23/2011
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