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1316357213
BEN SUMMER
NEWNAN, GA
NPI
1316357213
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: GA 2582)
Enumeration Date
2014-04-30
Last Update Date
2014-04-30
Business Address
Mr. BEN SUMMER MSPAS, PA-C
1825 GEORGIA 34 #1300
NEWNAN, GA 30265
Phone number: 770-502-2112
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Mailing Address
Mr. BEN SUMMER MSPAS, PA-C
304 CARRIAGE OAKS DR
TYRONE, GA 30290-1527
Phone number: 404-431-5101
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