Individual
BENJAMIN ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.P.A.S., PA-C
Contact information
Practice address
1180 RESURGENCE DR STE 100, WATKINSVILLE, GA 30677-7211
(706) 543-5858
Mailing address
1180 RESURGENCE DR STE 100, WATKINSVILLE, GA 30677-7211
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
7097
GA
363AS0400X
Surgical Physician Assistant
Primary
7097
GA
Other
Enumeration date
03/28/2014
Last updated
09/09/2018
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