Bennett, Sara Ruth

Bennett, Sara Ruth is an individual health care provider with primary practice located at 865 N Highland Ave Ne , Atlanta GA 30306-4565. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / General Practice. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Bennett, Sara Ruth can be contacted via phone (404) 733-6089.

Contact Information

Primary practice address
865 N Highland Ave Ne Atlanta GA 30306-4565
Phone: (404) 733-6089
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN165031 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN165031 Georgia
Nursing Service Providers / General Practice 163WG0000X RN165031 Georgia

Profile Details

NPI number 1104364173
LBN Legal business name Bennett, Sara Ruth
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2017
Last updated Mar 23rd, 2023 - about 3 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 1104364173 NPPES
Georgia MEDICAID 202I503548

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