Individual
DR. BENJAMIN DAVID CONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4345 ATLANTA HWY, BUS 6, HIRAM, GA 30141
(770) 505-2880
(770) 505-2889
Mailing address
4345 ATLANTA HWY, BUS 6, HIRAM, GA 30141
(770) 505-2880
(770) 505-2889
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR007889
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202I351697
MEDICARE PTAN
GA
Enumeration date
10/16/2007
Last updated
01/10/2012
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