Individual provider · Type 1 NPI

Benjamin Robert Herron, CSFA

Surgical Physician Assistant · Marietta, GA

NPI number 1720522600 Active

Practice location

800 Kennesaw Ave NW Ste 120
Marietta, GA 30060

Call (470) 336-8190 Map

Fax (770) 336-6620

Other practice locations

  • 1720 Mars Hill Rd NW Ste 8-175, Acworth, GA 30101-7127 · (470) 336-8190

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1720522600

Benjamin Robert Herron, CSFA's National Provider Identifier is 1720522600, issued on Dec 12, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Marietta, GA. The record was last updated on May 31, 2018.