Individual
ERIC BENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1747 BUCKHEAD VALLEY LN NE, ATLANTA, GA 30324-2794
(404) 272-6391
(404) 320-3009
Mailing address
1747 BUCKHEAD VALLEY LN NE, ATLANTA, GA 30324-2794
(404) 272-6391
(404) 320-3009
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
033527
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000478464H
—
GA
Enumeration date
10/06/2005
Last updated
01/20/2016
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