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Organization
MARK A BENAK MD PC
Active
Organization
MARK A BENAK MD PC
Active
Other names
Vein Guys South
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY VANN (CEO)
(706) 854-2138
Entity
Organization
Contact information
Practice address
4350 TOWNE CENTRE DR, SUITE 2000, EVANS, GA 30809-3301
(706) 854-3333
(706) 854-2149
Mailing address
4350 TOWNE CENTRE DR, SUITE 2000, EVANS, GA 30809-3301
(706) 854-3333
(706) 854-2149
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
NULL
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
06/06/2013
Last updated
06/06/2013
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