Bennett, Antionette Akia

Bennett, Antionette Akia is an individual health care provider with primary practice located at 8901 University Blvd , N Charleston SC 29406-9116. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Bennett, Antionette Akia can be contacted via phone (843) 203-2245.

Contact Information

Primary practice address
8901 University Blvd N Charleston SC 29406-9116
Phone: (843) 203-2245
Fax: (843) 203-2244
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 33166 South Carolina

Profile Details

NPI number 1871769968
LBN Legal business name Bennett, Antionette Akia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2008
Last updated Jul 21st, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871769968 NPPES
South Carolina MEDICAID 331661

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