Individual
DR. CECIL FITZ ALBERT BENNETT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
51 HOSPITAL RD, NEWNAN, GA 30263-1209
(770) 251-5540
(770) 251-5502
Mailing address
51 HOSPITAL RD, NEWNAN, GA 30263-1209
(770) 251-5540
(770) 487-9974
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
048844
GA
207Q00000X
Family Medicine Physician
GA48844
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000932687A
—
GA
01
—
0225609
CIGNA
GA
01
—
08BBWCG
MEDICARE
GA
01
—
52841180
BCBSGA
GA
01
—
7275373
AETNA
GA
Enumeration date
11/07/2006
Last updated
10/02/2020
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