Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bennett Boushka

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1003734922

Bennett Boushka is a Student in an Organized Health Care Education/Training Program in Atlanta, Georgia. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

100 Woodruff Cir NE
Atlanta, GA 30322-1059
Phone: (404) 727-5660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1003734922
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 8, 2026
Last updated in NPPESJuly 8, 2026
Certification dateJuly 8, 2026
Mailing address100 Woodruff Cir Ne, Atlanta, GA 30322-1059

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