Individual provider · Type 1 NPI
Benjamin Klar
Surgical Physician Assistant · Moultrie, GA
NPI number
1104699628
Active
Practice location
16 Live Oak Ct
Moultrie, GA 31768-6783
Mailing address
PO Box 2876
Moultrie, GA 31776-2876
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 12001 (GA) |
Surgical Physician Assistant: Definition to come...
9 other providers at this address
- Colquitt Regional Urology, LLCUrology Physician Moultrie, GA NPI 1215209416
- Sterling Orthopedics LLCOrthopaedic Surgery Physician Moultrie, GA NPI 1902328651
- Anthony B. Davis Sr., PAPhysician Assistant Moultrie, GA NPI 1285722991
- Carroll Curt Starling, MDSports Medicine (Orthopaedic Surgery) Physician Moultrie, GA NPI 1881681344
- Dexter Wayne Love, MDOrthopaedic Surgery Physician Moultrie, GA NPI 1366583270
- Emerson E. Harrison, MDUrology Physician Moultrie, GA NPI 1225130800
- Franklin Brent Davis Jr., MDOrthopaedic Surgery Physician Moultrie, GA NPI 1194179523
- Jeremy Zach Goodman, MDUrology Physician Moultrie, GA NPI 1245890094
- Vernita S. Shipp, NP-CFamily Nurse Practitioner Moultrie, GA NPI 1093050734
About NPI 1104699628
Benjamin Klar's National Provider Identifier is 1104699628, issued on Nov 6, 2023. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Moultrie, GA. The record was last updated on Sep 4, 2025.