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Individual
MRS. SARA RUTH BENNETT
Active
Individual
MRS. SARA RUTH BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN165031
GA
363L00000X
Nurse Practitioner
RN165031
GA
363LF0000X
Family Nurse Practitioner
Primary
RN165031
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202I503548
—
GA
Enumeration date
02/09/2017
Last updated
03/23/2023
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