Individual
DEUNDRAY BENTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
6601 ZEBULON RD, MACON, GA 31220-7606
(478) 477-3383
(478) 957-9492
Mailing address
2714 MONTPELIER AVE, MACON, GA 31204-5228
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
05/20/2013
Last updated
05/20/2013
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