Doctor Name: | DR. CRAIG CHRISTOPHER BENSON |
NPI Number: | 1790873123 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 02002833A |
Business Practice Address: | 1075 S Main St Suite 100 Madison, GA - 306502033 |
Business Phone Number: | 7064381275 |
Business Fax Number: | 7064381278 |
Mailing Address: | 1077 S Main St, MADISON |
State: | GA |
Postal Code: | 306502073 |
Phone Number: | 7064381275 |
Fax Number: | 7064381278 |
NPI Enumeration Date: | 10/11/2006 |
NPI Last Update Date: | 02/10/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 02002833A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |