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Individual

KERRE SEAN BENBROOKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN, BSN, CEN, TCRN

Contact information

Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6721
(912) 435-5228
Mailing address
1061 HARMON AVE BLDG 302, FORT STEWART, GA 31314-5641
(912) 435-6721
(912) 435-5228

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN141078
GA
163WC0200X
Critical Care Medicine Registered Nurse
RN141078
GA
163WE0003X
Emergency Registered Nurse
Primary
RN141078
GA
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN141078
GA

Other

Enumeration date
08/19/2014
Last updated
02/11/2024
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