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1750543815 NPI number — STEPHEN R BENOIT MD

NPI Number: 1750543815
Health Care Provider/Practitioner: STEPHEN R BENOIT MD

Information about “1750543815” NPI (STEPHEN R BENOIT MD) exists in 1750543815 in HTML format HTML  |  1750543815 in plain Text format TXT  |  1750543815 in PDF (Portable Document Format) PDF  |  1750543815 in an XML format XML  formats.

NPI Number : 1750543815 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1750543815",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BENOIT",
    "FirstName": "STEPHEN",
    "MiddleName": "R",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1600 CLIFTON RD NE",
    "SecondLineMailingAddress": "MS E-03",
    "MailingAddressCityName": "ATLANTA",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30333",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "404-639-5013",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3367 BUFORD HWY NE",
    "SecondLinePracticeLocationAddress": "SUITE 910",
    "PracticeLocationAddressCityName": "ATLANTA",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30329-1833",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "678-843-8700",
    "PracticeLocationAddressFaxNumber": "404-633-0502",
    "EnumerationDate": "06/30/2008",
    "LastUpdateDate": "01/22/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2083P0901X",
        "TaxonomyName": "Public Health & General Preventive Medicine Physician",
        "LicenseNumber": "059600",
        "LicenseNumberStateCode": "GA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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