Provider Demographics
NPI:1104113919
Name:BENEFIELD, KAYSI (DO)
Entity type:Individual
Prefix:
First Name:KAYSI
Middle Name:
Last Name:BENEFIELD
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:119 AMBULANCE DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:CARROLLTON
Mailing Address - State:GA
Mailing Address - Zip Code:30117-3857
Mailing Address - Country:US
Mailing Address - Phone:770-838-8710
Mailing Address - Fax:770-838-8563
Practice Address - Street 1:690 DALLAS HWY
Practice Address - Street 2:SUITE 301
Practice Address - City:VILLA RICA
Practice Address - State:GA
Practice Address - Zip Code:30180-1264
Practice Address - Country:US
Practice Address - Phone:770-812-3850
Practice Address - Fax:770-456-3826
Is Sole Proprietor?:No
Enumeration Date:2011-06-30
Last Update Date:2017-01-27
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Provider Licenses
StateLicense IDTaxonomies
GA077352207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics