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NPI Code Detail

MEDICARE: SUZANNE BENSON M.D.

MEDICARE:   SUZANNE  BENSON  M.D.
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
1208100000XPhysical Medicine & Rehabilitation PhysicianCV2201170IN
2208100000XPhysical Medicine & Rehabilitation Physician26747TN
3208100000XPhysical Medicine & Rehabilitation Physician41513GA

General Provider Information

NPI Number : 1619183092
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUZANNE BENSON M.D.
Provider Business Mailing Address
First Line : 1120 15TH ST # OR6000
Second Line :
City : AUGUSTA
State : GA
Zip : 30912-1306
Country : US
Telephone Number : 706-721-3813
Fax Number :
Provider Business Practice Location Address
First Line : 6135 ROOSEVELT HWY
Second Line :
City : WARM SPRINGS
State : GA
Zip : 31830-2757
Country : US
Telephone Number : 706-655-5461
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2007
Last Update Date : 10/17/2022

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Directions to “ SUZANNE BENSON M.D.” Practice Location

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