Individual
DR. MARK ALLAN BENAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4350 TOWNE CENTRE DR STE 2000, EVANS, GA 30809-3331
(706) 854-3333
(706) 854-2179
Mailing address
729 HAMPTON, MONROE, GA 30655-2083
(770) 266-0541
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
048976
GA
208600000X
Surgery Physician
Primary
48976
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00900611A
—
GA
Enumeration date
10/18/2005
Last updated
04/05/2024
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