Individual
NELSON CHARLES BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
34 PEACHTREE ST, SUITE 770, ATLANTA, GA 30303-2316
(404) 507-7100
Mailing address
703 ALDERLY LN, PEACHTREE CITY, GA 30269-1154
(770) 631-1322
(770) 631-3624
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
032873
GA
Other
Enumeration date
09/21/2009
Last updated
09/21/2009
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