Provider Demographics
NPI:1710927405
Name:CAMDEN HEALTHCARE ASSOCIATES, INC.
Entity Type:Organization
Organization Name:CAMDEN HEALTHCARE ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SALLY
Authorized Official - Middle Name:D
Authorized Official - Last Name:BENNETT
Authorized Official - Suffix:
Authorized Official - Credentials:APRN BC FNP
Authorized Official - Phone:912-729-2795
Mailing Address - Street 1:130 N GROSS RD STE 201
Mailing Address - Street 2:
Mailing Address - City:KINGSLAND
Mailing Address - State:GA
Mailing Address - Zip Code:31548-6277
Mailing Address - Country:US
Mailing Address - Phone:912-729-2795
Mailing Address - Fax:912-729-4117
Practice Address - Street 1:130 N GROSS RD
Practice Address - Street 2:SUITE 201
Practice Address - City:KINGSLAND
Practice Address - State:GA
Practice Address - Zip Code:31548
Practice Address - Country:US
Practice Address - Phone:912-729-2795
Practice Address - Fax:912-729-4117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-08
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty