Benjamin Brainerd
Benjamin Brainerd is a Student in an Organized Health Care Education/Training Program in Fort Eisenhower, Georgia. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
300 E Hospital RdFort Eisenhower, GA 30905-5650
Phone: (706) 787-1647
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1558112300 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 29, 2024 |
| Last updated in NPPES | March 29, 2024 |
| Certification date | March 27, 2024 |
| Mailing address | 300 East Hospital Road, Fort Eisenhower, GA 30905 |
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