person
Brian Nathan Bennett, DPM
Foot & Ankle Surgery Podiatrist in Augusta, Georgia
NPI 1275639692

Brian Nathan Bennett is a Foot & Ankle Surgery Podiatrist based in Augusta, GA and is specialized in Foot & Ankle Surgery. Brian Nathan Bennett practices in Augusta, GA and has the professional credentials of DPM. The NPI Number for Brian Nathan Bennett is 1275639692 and holds a License No. POD000842 (Georgia).

The current practice location address for Brian Nathan Bennett is 1416 Wainbrook Dr, Augusta, GA and can be reached out via phone at 706-312-3668 and via fax at 706-312-3670.

Location: 1416 Wainbrook Dr, Augusta, GA, 30909-6289
person
Provider Profile Details
NPI Number
1275639692
Provider Name
Brian Nathan Bennett
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1416 Wainbrook Dr, Augusta, GA, 30909-6289
Phone Number
706-312-3668
Fax Number
706-312-3670
Provider Enumeration Date
09/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2700070 01 GA UNITED HEALTHCARE
4292280003 01 GA MEDICARE PTAN
GPD842 01 SC SOUTH CAROLINA MEDICAID
2592457 01 GA AETNA HMO
7052274 01 GA BCBS OF GEORGIA
00812985B 05 GA
7104253 01 GA AETNA PPO
000812985C 05 GA
480032159 01 GA RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1416 Wainbrook Dr
City
State
Zip
30909-6289
Phone Number
706-312-3668
Fax Number
706-312-3670
person
Provider Business Mailing Address Details
Address
1416 Wainbrook Dr
City
State
Zip
30909-6289
Phone Number
706-312-3668
Fax Number
706-312-3670
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
POD000842 (Georgia)
Definition
Definition to come...
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