Provider Demographics
NPI:1407380777
Name:QUARSHIE, BENJAMIN KWABENA (MD)
Entity Type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:KWABENA
Last Name:QUARSHIE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 PEACHTREE ST NE STE 1220
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-2237
Mailing Address - Country:US
Mailing Address - Phone:404-230-5622
Mailing Address - Fax:404-230-5623
Practice Address - Street 1:550 PEACHTREE ST NE STE 1220
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-2237
Practice Address - Country:US
Practice Address - Phone:404-230-5622
Practice Address - Fax:404-230-5623
Is Sole Proprietor?:No
Enumeration Date:2017-04-13
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
GA92686207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003279937AMedicaid