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1720522600
BENJAMIN ROBERT HERRON
MARIETTA, GA
NPI
1720522600
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
Enumeration Date
2016-12-12
Last Update Date
2018-05-31
Business Address
BENJAMIN ROBERT HERRON CSFA
800 KENNESAW AVE NW STE 120
MARIETTA, GA 30060
Phone number: 470-336-8190
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Mailing Address
BENJAMIN ROBERT HERRON CSFA
800 KENNESAW AVE NW STE 120
MARIETTA, GA 30060-1052
Phone number: 470-336-8190
Copy
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