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DR. TANEISHA NACOYA BENJAMIN M.D.
Nephrology >> Internal Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1184881674
Individual Registrant:DR. TANEISHA NACOYA BENJAMIN M.D.
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
1192 ROCKBRIDGE RD STONE MOUNTAIN, GA 30087-2923 US
Tel: 770-925-2010 Fax: --
Tel: 770-925-2010 Fax: --
Contact information for business:
1192 ROCKBRIDGE RD STONE MOUNTAIN, GA 30087-2923 US
Tel: 770-925-2010 Fax: --
Tel: 770-925-2010 Fax: --
Registration Information:
NPI: 1184881674
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 207RN0300X | Allopathic & Osteopathic Physicians Internal Medicine Nephrology | GA | 071450 |
| Y | 207R00000X | Allopathic & Osteopathic Physicians Internal Medicine | GA | 074150 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
