Individual
MRS. JENNIFER ANNE BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
3805 CHEROKEE ST NW, KENNESAW, GA 30144-2085
(770) 426-5666
(770) 426-9212
Mailing address
2513 SHALLOWFORD RD, BLDG 100, MARIETTA, GA 30066-6809
(770) 516-3500
(770) 516-3500
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
003147
GA
Other
Enumeration date
08/31/2007
Last updated
11/06/2019
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