Individual
MS. ANNE MICHELE BENFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2240 W PARK PLACE BLVD STE A, STONE MOUNTAIN, GA 30087-3543
(770) 771-5222
Mailing address
2240 W PARK PLACE BLVD STE A, STONE MOUNTAIN, GA 30087-3543
(770) 771-5222
(770) 771-5223
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
RN119911
GA
Other
Enumeration date
02/11/2022
Last updated
02/11/2022
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