Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Benjamin Glenmore Tan-Johnson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1295594810

Benjamin Glenmore Tan-Johnson is a Student in an Organized Health Care Education/Training Program in Atlanta, Georgia. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

49 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3049
Phone: (512) 550-7390
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1295594810
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 18, 2024
Last updated in NPPESMarch 18, 2024
Certification dateMarch 16, 2024
Mailing address5455 Rowley Rd Unit 3204, San Antonio, TX 78240-4843

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