Mullins, Bennie Joe

Mullins, Bennie Joe is an individual health care provider with primary practice located at 1755 Highway 34 E Suite 1100, Newnan GA 30265-5631. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Mullins, Bennie Joe can be contacted via phone (770) 251-2060.

Contact Information

Primary practice address
1755 Highway 34 E Suite 1100 Newnan GA 30265-5631
Phone: (770) 251-2060
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN113064 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 2004036293 Missouri

Profile Details

NPI number 1235111428
LBN Legal business name Mullins, Bennie Joe
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated May 3rd, 2023 - about 2 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 1235111428 NPPES
Missouri MEDICAID 917249500

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