Abraham, Benjamin
Abraham, Benjamin is an individual health care provider with primary practice located at 3020 Highway 124 , Snellville GA 30039-4614. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Abraham, Benjamin can be contacted via phone (770) 978-1331.Contact Information
Primary practice address
3020 Highway 124
Snellville GA 30039-4614
Phone: (770) 978-1331
Fax: (770) 978-8580
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 034757 | Georgia |
Profile Details
| NPI number | 1538156542 |
|---|---|
| LBN Legal business name | Abraham, Benjamin |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538156542 | NPPES |
| Georgia | MEDICAID | 00481016A |
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