Benashvili, George M

Benashvili, George M is an individual health care provider with primary practice located at 710 Center St Department Of Radiology, Columbus GA 31901-1527. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Benashvili, George M can be contacted via phone (706) 571-1064.

Contact Information

Primary practice address
710 Center St Department Of Radiology Columbus GA 31901-1527
Fax: (706) 571-1986
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 047396 Georgia

Profile Details

NPI number 1063498400
LBN Legal business name Benashvili, George M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated Apr 22nd, 2020 - about 4 years ago

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 1063498400 NPPES
Georgia MEDICAID 000883979B

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