Individual
KIRSTEN HASKELLE BENDECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3950 AUSTELL ROAD, EMERGENCY DEPARTMENT, AUSTELL, GA 30328
(770) 732-4000
Mailing address
250 PHARR RD NE APT 808, ATLANTA, GA 30305-2275
(202) 709-7882
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
66456
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2008
Last updated
12/15/2011
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