GRANT D. BENNETT NPI 1376700401

NPI Information

NPI: 1376700401
Provider Name: GRANT D. BENNETT

Former Legal Business Name: BENNETT MOBILITY PRODUCTS

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
6223 CLARK RD.
BLACKSHEAR, GA
ZIP 31516
Phone: (912) 807-6625
Get Directions

GRANT D. BENNETT is a durable medical equipment medical supplies in Blackshear, GA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. GRANT D. BENNETT NPI is 1376700401. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Bennett Mobility Products.

The provider's business location address is:

6223 CLARK RD.
BLACKSHEAR, GA
ZIP 31516
Phone: (912) 807-6625
Fax: (912) 807-0212

The provider's authorized official is Grant D. Bennett .
The authorized official title is Owner/manager/technician and has the following contact phone number (912) 614-2269.

The enumeration date for this NPI number is 5/16/2008 and was last updated on 4/25/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies			GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	003108583A	MEDICAID	GEORGIA
2	879144878A	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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