Individual provider · NPI-1

Dr. Cecil Fitz Albert Bennett Jr., MD

Family Medicine · Newnan, GA

NPI number1982773610
StatusActive
Last updated in NPPESOct 2, 2020

Details

NPI
1982773610
Entity type
Individual (NPI-1)
Name
Dr. Cecil Fitz Albert Bennett Jr.
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 7, 2006
Certification date
Oct 2, 2020
Last updated
Oct 2, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine048844GAYes
207Q00000X Family MedicineGA48844GA

Practice location

51 Hospital Rd
Newnan, GA 30263-1209

Phone 770-251-5540 · Fax 770-251-5502

Mailing address

51 Hospital Rd
Newnan, GA 30263-1209

Phone 770-251-5540 · Fax 770-487-9974

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