Individual
BENJAMIN ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6965
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6965
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT02950
RI
Other
Enumeration date
10/17/2016
Last updated
09/09/2020
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