Individual
MRS. STEPHANIE FAYE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1014 FORSYTH ST, MACON, GA 31201-2051
(478) 633-8100
Mailing address
5661 OCMULGEE EAST BLVD, MACON, GA 31217-5797
(478) 960-9592
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
RN251069
GA
2080P0006X
Developmental - Behavioral Pediatrics Physician
RN251069
GA
Other
Enumeration date
12/04/2023
Last updated
09/29/2025
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