Individual
GINEARA B BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2385 WALL ST SE STE 205, CONYERS, GA 30013-2187
(678) 964-2031
Mailing address
2385 WALL ST SE STE 205, CONYERS, GA 30013-2187
(678) 964-2031
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
12/11/2023
Last updated
12/05/2024
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