Individual
DR. RAY BURNETT BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1325 COMMERCE DR, SUITE 200, PEACHTREE CITY, GA 30269-3582
(770) 692-7575
(770) 692-7570
Mailing address
1325 COMMERCE DR STE 200, PEACHTREE CITY, GA 30269-3582
(770) 692-7575
(770) 692-7570
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
056526
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152797525A
—
GA
Enumeration date
03/23/2007
Last updated
09/30/2025
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