Lawless, Benjamin R
Lawless, Benjamin R is an individual health care provider with primary practice located at 4550 Cobb Parkway North Nw Ste 101 , Acworth GA 30101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lawless, Benjamin R can be contacted via phone (470) 956-0100.Contact Information
Primary practice address
4550 Cobb Parkway North Nw Ste 101
Acworth GA 30101
Phone: (470) 956-0100
Fax: (770) 529-0279
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 22658 | South Carolina |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 69843 | Georgia |
Profile Details
| NPI number | 1407839905 |
|---|---|
| LBN Legal business name | Lawless, Benjamin R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2005 |
| Last updated | Oct 31st, 2019 - about 6 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 | 1407839905 | NPPES |
| South Carolina | Other | 428958 | RURAL HEALTH/ CMS |
| South Carolina | Other | PENDING | RURAL HEALTH/ CMS |
| South Carolina | MEDICAID | RHC132 | RURAL HEALTH/ CMS |
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