Individual
DR. MELISSA MARIE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
17273 STATE ROUTE 104, CHILLICOTHE, OH 45601-9718
(740) 773-1141
Mailing address
5662 PLATINUM DR, GROVE CITY, OH 43123-8271
(740) 579-1235
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5787
OH
Other
Enumeration date
08/26/2008
Last updated
07/12/2013
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