Individual
DR. BENJAMIN DOUGLAS MORTON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 633-1320
(478) 633-1770
Mailing address
4827 WESLEYAN WOODS DR, MACON, GA 31210-4116
(478) 477-1804
(478) 477-8235
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
20940
NC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
21558
GA
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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