Individual
DR. BENJAMIN S ULMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 15TH ST DEPT OF, AUGUSTA, GA 30912-6302
(706) 721-3871
Mailing address
P O BOX 7397, AIKEN, SC 29804-7397
(336) 553-1659
(336) 553-3994
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
15455
SC
207LP2900X
Pain Medicine (Anesthesiology) Physician
15455
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050018300
RRB
SC
05
—
TL4145
—
SC
Enumeration date
07/25/2006
Last updated
07/22/2022
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