Bennett, Paula L

Bennett, Paula L is an individual health care provider with primary practice located at 220 Northside Drive , Valdosta GA 31602. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Bennett, Paula L can be contacted via phone (229) 241-2800.

Contact Information

Primary practice address
220 Northside Drive Valdosta GA 31602
Phone: (229) 241-2800
Fax: (229) 241-0454
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R060585 Georgia

Profile Details

NPI number 1750467452
LBN Legal business name Bennett, Paula L
Credentials Registered Nurse Certified (RNC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Jul 8th, 2007 - about 19 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 1750467452 NPPES
Georgia MEDICAID 00530417B

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