Bennett, Ray Burnett
Bennett, Ray Burnett is an individual health care provider with primary practice located at 1325 Commerce Dr Suite 200, Peachtree City GA 30269-3582. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bennett, Ray Burnett can be contacted via phone (770) 692-7575.Contact Information
Primary practice address
1325 Commerce Dr Suite 200
Peachtree City GA 30269-3582
Phone: (770) 692-7575
Fax: (770) 692-7570
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 056526 | Georgia |
Profile Details
| NPI number | 1841317138 |
|---|---|
| LBN Legal business name | Bennett, Ray Burnett |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2007 |
| Last updated | May 18th, 2023 - about 2 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 | 1841317138 | NPPES |
| Georgia | MEDICAID | 152797525A |
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