Individual
MRS. HEATHER BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1120 15TH ST, BP-4109, AUGUSTA, GA 30912-0004
(706) 721-4400
Mailing address
1120 15TH ST, STE BI-1056, AUGUSTA, GA 30912-0004
(706) 721-2785
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN-198940
GA
Other
Enumeration date
03/12/2015
Last updated
11/29/2018
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