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NPI Code Detail

MEDICARE: BENJAMIN ABRAHAM DO

MEDICARE: BENJAMIN ABRAHAM DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician034757GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538156542
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMIN ABRAHAM DO
Provider Business Mailing Address
First Line : 3020 HIGHWAY 124
Second Line :
City : SNELLVILLE
State : GA
Zip : 30039-4614
Country : US
Telephone Number : 770-978-1331
Fax Number : 770-978-8580
Provider Business Practice Location Address
First Line : 3020 HIGHWAY 124
Second Line :
City : SNELLVILLE
State : GA
Zip : 30039-4614
Country : US
Telephone Number : 770-978-1331
Fax Number : 770-978-8580
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2005
Last Update Date : 07/08/2007

Similar Medicare Providers

1104826775 — DR. B ABRAHAM PC
Practice Location Address:
3020 HIGHWAY 124
SNELLVILLE, GA
30039-4614
Practice Phone: 770-978-1331
Practice Fax: 770-978-8580
1598751380 — MRS. PATRICIA M BARRINGTON DO
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30039-4614
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1194778878 — GAINNEOS R. GOLDIE MD
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3020 HIGHWAY 124
SNELLVILLE, GA
30039-4614
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Practice Fax: 770-978-8580
1134155153 — MICHAEL AUSTIN M.D.
Practice Location Address:
3020 HIGHWAY 124
SNELLVILLE, GA
30039-4614
Practice Phone: 770-476-3636
Practice Fax: 770-978-8580
1447358254 — DAVID NEIL BRONAUGH P.A.C.
Practice Location Address:
3020 HIGHWAY 124
SNELLVILLE, GA
30039-4614
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Practice Fax: 770-978-8580
1710185178 — MRS. DIANNE THORNLEY SHEINTAL PA-C
Practice Location Address:
3020 SCENIC HWY S
SNELLVILLE, GA
30039-4614
Practice Phone: 770-978-1331
Practice Fax: 770-978-8580

Directions to “ BENJAMIN ABRAHAM DO” Practice Location

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