Axelrod, Bennett J.

Axelrod, Bennett J. is an individual health care provider with primary practice located at 500 Medical Center Blvd Suite 100, Lawrenceville GA 30045-8708. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Axelrod, Bennett J. can be contacted via phone (770) 682-6000.

Contact Information

Primary practice address
500 Medical Center Blvd Suite 100 Lawrenceville GA 30045-8708
Fax: (770) 513-1103
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 026442 Georgia

Profile Details

NPI number 1366490757
LBN Legal business name Axelrod, Bennett J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366490757 NPPES
Georgia MEDICAID 00335926B

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