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NPI Code Detail

MEDICARE: MACI BENVENISTE

MEDICARE: MACI BENVENISTE
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
1363AM0700XMedical Physician Assistant

General Provider Information

NPI Number : 1750270229
Entity Type Code : Individual
Provider Name (Legal Business Name) : MACI BENVENISTE
Provider Business Mailing Address
First Line : 2544 ARTHURS CT NE
Second Line :
City : MARIETTA
State : GA
Zip : 30062-5203
Country : US
Telephone Number : 404-729-8888
Fax Number :
Provider Business Practice Location Address
First Line : 1357 HEMBREE RD STE 250
Second Line :
City : ROSWELL
State : GA
Zip : 30076-5724
Country : US
Telephone Number : 770-754-0787
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2025
Last Update Date : 06/30/2025

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Directions to “ MACI BENVENISTE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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