Individual
CORAL ROCHELLE BENGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1631 HIGHWAY 20 W, MCDONOUGH, GA 30253-7311
(678) 583-0241
(678) 583-0261
Mailing address
1631 HIGHWAY 20 W, MCDONOUGH, GA 30253-7311
(678) 583-0241
(678) 583-0261
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003067
GA
Other
Enumeration date
06/12/2006
Last updated
11/08/2011
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