Benak, Mark Allan

Benak, Mark Allan is an sole proprietor health care provider with primary practice located at 4350 Towne Centre Dr Ste 2000 , Evans GA 30809-3331. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Benak, Mark Allan can be contacted via phone (706) 854-3333.

Contact Information

Primary practice address
4350 Towne Centre Dr Ste 2000 Evans GA 30809-3331
Phone: (706) 854-3333
Fax: (706) 854-2179
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 048976 Georgia
Allopathic & Osteopathic Physicians / Surgery 208600000X 48976 Georgia

Profile Details

NPI number 1972592475
LBN Legal business name Benak, Mark Allan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2005
Last updated Apr 5th, 2024 - 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 1972592475 NPPES
Georgia MEDICAID 00900611A

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