DEREK R BENZ

ATLANTA, GA
NPI1922052208
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  004114)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: GA  004114)
Enumeration Date2006-05-20
Last Update Date2008-11-12
Business Address
-- DEREK R BENZ PA
1000 JOHNSON FERRY RD NE
ATLANTA, GA 30342-1606
Phone number: 404-851-8000
Mailing Address
-- DEREK R BENZ PA
PO BOX 2968
KENNESAW, GA 30156-9117
Phone number: 770-779-0015