Duhart, Benetta H
Duhart, Benetta H is an individual health care provider with primary practice located at 3240 Avalon Blvd , Conyers GA 30013-6320. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Duhart, Benetta H can be contacted via phone (770) 860-1133.Contact Information
Primary practice address
3240 Avalon Blvd
Conyers GA 30013-6320
Phone: (770) 860-1133
Fax: (770) 860-1599
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 052559 | Georgia |
Profile Details
NPI number | 1740249838 |
---|---|
LBN Legal business name | Duhart, Benetta H |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 20th, 2006 |
Last updated | Feb 9th, 2012 - about 13 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 | 1740249838 | NPPES |
Georgia | MEDICAID | 848439733A |
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