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NPI Code Detail

MEDICARE: BENJAMIN HARBIN RN

MEDICARE: BENJAMIN HARBIN RN
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
1163WC0200XCritical Care Medicine Registered NurseRN292326GA

General Provider Information

NPI Number : 1821943002
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMIN HARBIN RN
Provider Business Mailing Address
First Line : 1199 PRINCE AVE
Second Line :
City : ATHENS
State : GA
Zip : 30606-2797
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1199 PRINCE AVE
Second Line :
City : ATHENS
State : GA
Zip : 30606-2797
Country : US
Telephone Number : 706-475-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2026
Last Update Date : 03/03/2026

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