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1194175257
TRAVIS BENN
COLUMBUS, GA
NPI
1194175257
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: GA PT012374)
Enumeration Date
2016-06-20
Last Update Date
2020-06-08
Business Address
TRAVIS BENN PT
6262 VETERANS PKWY
COLUMBUS, GA 31909-3540
Phone number: 706-324-6661
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Mailing Address
TRAVIS BENN PT
PO BOX 370
FORTSON, GA 31808-0370
Phone number:
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