Individual provider · Type 1 NPI
Benjamin Durham, PA-C
Surgical Physician Assistant · Thomaston, GA
NPI number
1003006115
Active
Practice location
522 N Center St
Thomaston, GA 30286-3695
Fax (706) 646-4372
Mailing address
PO Box 370
Fortson, GA 31808-0370
Other practice locations
- 2300 Manchester Expy # A, Suite 101-A, Columbus, GA 31904-6802 · (706) 322-2462
- 100 N Macon St, Macon, GA 31210-6563 · (478) 200-6970
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 005084 (GA) |
| Surgical Physician Assistant | 363AS0400X | PA.749 (AL) |
| Surgical Physician Assistant Primary | 363AS0400X | 5084 (GA) |
Surgical Physician Assistant: Definition to come...
3 other providers at this address
Other surgical physician assistant providers in Thomaston
About NPI 1003006115
Benjamin Durham, PA-C's National Provider Identifier is 1003006115, issued on Jul 26, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Thomaston, GA. The record was last updated on Aug 6, 2025.