Individual provider · Type 1 NPI

Rachel Bennett, PA

Surgical Physician Assistant · Gainesville, GA

NPI number 1275120958 Active

Practice location

1315 Jesse Jewell Pkwy NE Ste 300
Gainesville, GA 30501-3875

Mailing address

PO Box 742616
Atlanta, GA 30374-2616

Other practice locations

  • 625 Old Peachtree Rd NW, Suwanee, GA 30024-2937 · (678) 225-7500

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Surgical Physician Assistant Primary 363AS0400X10617 (GA)

Surgical Physician Assistant: Definition to come...

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About NPI 1275120958

Rachel Bennett, PA's National Provider Identifier is 1275120958, issued on Dec 28, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Gainesville, GA. The record was last updated on Oct 13, 2021.