Individual
MR. GARRETT BENHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
545 RAY C HUNT DR STE 1100, CHARLOTTESVILLE, VA 22903-2981
(434) 924-5035
(434) 243-6890
Mailing address
PO BOX 749112, ATLANTA, GA 30374-9112
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0110008574
VA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
1172000
DE
363A00000X
Physician Assistant
Primary
0110008574
VA
363A00000X
Physician Assistant
1172000
—
Other
Enumeration date
06/07/2020
Last updated
05/01/2026
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