Benner, Keelia Elise

Benner, Keelia Elise is an individual health care provider with primary practice located at 8954 Hospital Dr , Douglasville GA 30134-2272. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Benner, Keelia Elise can be contacted via phone (770) 874-5400.

Contact Information

Primary practice address
8954 Hospital Dr Douglasville GA 30134-2272
Phone: (770) 874-5400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10675 Georgia

Profile Details

NPI number 1295317766
LBN Legal business name Benner, Keelia Elise
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2021
Last updated Oct 19th, 2021 - about 3 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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