Law, Bennie Bret

Law, Bennie Bret is an individual health care provider with primary practice located at 122 Highway 280 Suite A, Americus GA 31719-8645. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Law, Bennie Bret can be contacted via phone (229) 931-7156.

Contact Information

Primary practice address
122 Highway 280 Suite A Americus GA 31719-8645
Fax: (229) 931-9472
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 046879 Georgia

Profile Details

NPI number 1932170461
LBN Legal business name Law, Bennie Bret
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated Nov 21st, 2011 - about 14 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 1932170461 NPPES
Georgia MEDICAID 000840991B
Georgia Other 001223

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