Benson, Robert Moore
Benson, Robert Moore is an sole proprietor health care provider with primary practice located at 4451 Country Club Rd Suite 3A, Statesboro GA 30458-9188. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Benson, Robert Moore can be contacted via phone (912) 764-2273.Contact Information
Primary practice address
4451 Country Club Rd Suite 3A
Statesboro GA 30458-9188
Phone: (912) 764-2273
Fax: (912) 489-4762
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 034776 | Georgia |
Profile Details
| NPI number | 1013921428 |
|---|---|
| LBN Legal business name | Benson, Robert Moore |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Sep 17th, 2020 - about 5 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 | 1013921428 | NPPES |
| Georgia | MEDICAID | 300031230A |
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