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
Fax: (770) 860-1599
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740249838 NPPES
Georgia MEDICAID 848439733A

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