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1003006115
BENJAMIN DURHAM
THOMASTON, GA
NPI
1003006115
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 005084)
Enumeration Date
2007-07-26
Last Update Date
2020-11-20
Business Address
MR. BENJAMIN DURHAM PA-C
522 N CENTER ST
THOMASTON, GA 30286-3695
Phone number: 706-646-4371
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Mailing Address
MR. BENJAMIN DURHAM PA-C
PO BOX 370
FORTSON, GA 31808-0370
Phone number:
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