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DR. TANEISHA NACOYA BENJAMIN M.D.

Nephrology >> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1184881674

Individual Registrant:
DR. TANEISHA NACOYA BENJAMIN M.D.
Gender: F
Sole Proprietor

Location and contact information for practice:
1192 ROCKBRIDGE RD  STONE MOUNTAIN, GA 30087-2923 US
Tel: 770-925-2010  Fax: --

Contact information for business:
1192 ROCKBRIDGE RD  STONE MOUNTAIN, GA 30087-2923 US
Tel: 770-925-2010  Fax: --

Registration Information:
NPI: 1184881674
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207RN0300XAllopathic & Osteopathic Physicians
Internal Medicine
Nephrology
GA071450
Y207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
GA074150

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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