Individual
CARMEN MARIE BENOIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
21 ORTHO LN, ATLANTA, GA 30329-2315
(404) 778-6379
(404) 251-5897
Mailing address
21 ORTHO LN, ATLANTA, GA 30329-2315
(404) 778-6379
(404) 251-5897
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5299
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5299
MEDICAL LICENSE
GA
Enumeration date
05/05/2008
Last updated
01/25/2024
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