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Mark Benson

NPI 1063069391 · on the registry since 2019 · sole proprietor

Practice

Address
4176 Chatford Cv
Tucker, GA 30084
Phone
(404) 552-3540

Registry record

Primary taxonomy
163WC1500X
163WC1500X
Also registered as
207R00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-08-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia