Hamilton, Benita Nannette

Hamilton, Benita Nannette is an individual health care provider with primary practice located at 500 Nathan Dean Blvd Ste 105 , Dallas GA 30157-4911. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Hamilton, Benita Nannette can be contacted via phone (470) 624-6792.

Contact Information

Primary practice address
500 Nathan Dean Blvd Ste 105 Dallas GA 30157-4911
Phone: (470) 624-6792
Fax: (470) 202-1026
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 005769-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 12130 Georgia

Profile Details

NPI number 1780775486
LBN Legal business name Hamilton, Benita Nannette
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Sep 25th, 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 1780775486 NPPES
New York MEDICAID 00355931

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