Bennett, Judith Cecile
Bennett, Judith Cecile is an individual health care provider with primary practice located at 1600 Fort Benning Rd , Columbus GA 31903-2834. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bennett, Judith Cecile can be contacted via phone (706) 322-9599.Contact Information
Primary practice address
1600 Fort Benning Rd
Columbus GA 31903-2834
Phone: (706) 322-9599
Fax: (706) 689-4340
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 033026 | Georgia |
Profile Details
| NPI number | 1215093547 |
|---|---|
| LBN Legal business name | Bennett, Judith Cecile |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2006 |
| Last updated | May 5th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215093547 | NPPES |
| Georgia | MEDICAID | 000435674E | |
| Georgia | MEDICAID | 123197 |
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