Derek R Benz is a Physician Assistant in Kennesaw, Georgia. Derek R Benz practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Derek R Benz is 1922052208. The last update date is 2008-11-12.
Derek R Benz's current location address is Po Box 2968, Kennesaw, Georgia. You can contact this provider via phone number 7707790015. The mailing address for Derek R Benz is Po Box 2968, Kennesaw, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Derek R Benz |
|---|---|
| Address | Po Box 2968, Kennesaw, Georgia |
| Phone Number | 7707790015 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1922052208 |
|---|---|
| Provider Enumeration Date | 2006-05-20 |
| Last Updated Date | 2008-11-12 |
Provider Mailing Address Detail
| Address | Po Box 2968 |
|---|---|
| City | Kennesaw |
| State | Georgia (GA) |
| Post Code | 301569117 |
| Phone Number | 7707790015 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 4114 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 744705159B | GA | -- | |
| 10043450 | GA | AMERIGROUP | |
| 333432 | GA | WELLCARE | |
| 744705159 | GA | -- | |
| 744705159A | GA | -- |
Post Comment/ Review Below
What is the Derek R Benz's 1922052208?
The Derek R Benz's NPI (National Provider Identifier) Number is 1922052208. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Derek R Benz?
The Derek R Benz is physically situated at Po Box 2968, in the city of Kennesaw, state of GA, with the postal code 301569117.
What is Derek R Benz's specialized field of practice, and what is the corresponding taxonomy classification code?
The Derek R Benz's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Derek R Benz receive the assignment of its 1922052208 from the Centers for Medicare & Medicaid Services?
The Derek R Benz was issued its 1922052208 by the Centers for Medicare & Medicaid Services on 2006-05-20.
When was the information related to Derek R Benz most recently updated or refreshed?
The details pertaining to the Derek R Benz, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-11-12.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA