# MARK A BENAK MD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vein Guys South
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790123206
- **Authorized official:** KELLY VANN (CEO)
- **Authorized official phone:** (706) 854-2138

## Contact information

- **Practice address:** 4350 TOWNE CENTRE DR, SUITE 2000, EVANS, GA 30809-3301
- **Practice address phone:** (706) 854-3333
- **Practice address fax:** (706) 854-2149
- **Mailing address:** 4350 TOWNE CENTRE DR, SUITE 2000, EVANS, GA 30809-3301
- **Mailing address phone:** (706) 854-3333
- **Mailing address fax:** (706) 854-2149

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/06/2013
- **Last updated:** 06/06/2013