Benjamin A Bograd, D.O. Valid NPI
Individual provider · Surgery Physician · Saint Marys, GA
- NPI
- 1316174873
- Type
- Individual (Type 1)
- Primary specialty
- Surgery Physician (Surgery)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 208600000X
- License number
- 84722 (GA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2009-06-11
- Last updated
- 2020-09-18
Practice location
2040 Dan Proctor Dr Ste 240
Saint Marys, GA 31558-3801
(912) 576-6340