Benoit-Harris, Debbie

Benoit-Harris, Debbie is an individual health care provider with primary practice located at 411 Town Park Blvd , Evans GA 30809-3089. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Benoit-Harris, Debbie can be contacted via phone (706) 854-2500.

Contact Information

Primary practice address
411 Town Park Blvd Evans GA 30809-3089
Fax: (706) 854-2559
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 055094 Georgia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 055094 Georgia

Profile Details

NPI number 1780688127
LBN Legal business name Benoit-Harris, Debbie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Jan 24th, 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 1780688127 NPPES
Georgia MEDICAID 597951727B
Georgia MEDICAID 597951727C
Georgia MEDICAID 597951727A

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