Grodin, Benjamin
Grodin, Benjamin is an individual health care provider with primary practice located at 3000 Hospital Blvd , Roswell GA 30076-4915. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Grodin, Benjamin can be contacted via phone (770) 751-2500.Contact Information
Primary practice address
3000 Hospital Blvd
Roswell GA 30076-4915
Phone: (770) 751-2500
Fax: (770) 751-2609
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 054570 | Georgia |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 054570 | Georgia |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | ME89281 | Florida |
Profile Details
| NPI number | 1568458636 |
|---|---|
| LBN Legal business name | Grodin, Benjamin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2005 |
| Last updated | Dec 13th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568458636 | NPPES |
| Georgia | MEDICAID | 660133640A |
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