NPI

Grant Douglas Bennett

NPI 1164691267

Read from the NPPES registry on October 24, 2026.

Facts

Status
Active
Type
Individual
Enumeration date
2008-02-22
Last updated
2008-05-16

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Specialties

Licenses

License GA
2008500

Location

Practice location
3351 Us Highway 84, Suite 102
City
Blackshear GA
Postal code
31516-2100
Phone
(912) 807-6625
Fax
(912) 807-0212

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Blackshear, GA. 100 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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